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Organization
YU DENTAL GROUP, PLLC
Active
Organization
YU DENTAL GROUP, PLLC
Active
Other names
Icy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD KING TUNG YU D.M.D. (OWNER)
(657) 888-2693
Entity
Organization
Contact information
Practice address
2843 E GRAND RIVER AVE STE 130, EAST LANSING, MI 48823-4989
(657) 888-2693
Mailing address
3901 QUARTERHORSE RD, EAST LANSING, MI 48823-6192
(517) 366-0113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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