| Yiyu Fang Dds Ps | |
|
1410 N Pittsburg St Ste B2 Kennewick WA 99336-8211 | |
| (509) 736-2000 | |
| Not Available |
| Full Name | Yiyu Fang Dds Ps |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1410 N Pittsburg St Ste B2, Kennewick, Washington |
| Authorized Official Name and Position | Yiyu Jade Fang (PRESIDENT) |
| Authorized Official Contact | 5094383044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yiyu Fang Dds Ps 1410 N Pittsburg St Ste B2 Kennewick WA 99336-8211 Ph: (509) 438-3044 | Yiyu Fang Dds Ps 1410 N Pittsburg St Ste B2 Kennewick WA 99336-8211 Ph: (509) 736-2000 |
| NPI Number | 1679768550 |
|---|---|
| Provider Enumeration Date | 09/13/2007 |
| Last Update Date | 09/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679768550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00010661 (Washington) | Primary |
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