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Individual
FANGYU CATHY AI
Active
Individual
FANGYU CATHY AI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12306
MN
1223G0001X
General Practice Dentistry
Primary
57331
CA
Other
Enumeration date
11/29/2006
Last updated
02/08/2012
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