# YIDI ORTHODONTICS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326860685
- **Authorized official:** YIDI LIU (OWNER)
- **Authorized official phone:** (765) 801-0808

## Contact information

- **Practice address:** 3451 WYNDHAM WAY STE B, WEST LAFAYETTE, IN 47906-5508
- **Practice address phone:** (650) 918-0918
- **Mailing address:** 3451 WYNDHAM WAY STE B, WEST LAFAYETTE, IN 47906-5508

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2024
- **Last updated:** 02/27/2025
