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Individual
YUDONG XU
Active
Individual
YUDONG XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019026810
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178971
—
IL
Enumeration date
10/17/2005
Last updated
09/23/2016
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