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Individual
DR. YAN MA
Active
Individual
DR. YAN MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
21DI02207900
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02122002
NJ
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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