Individual
DR. YAOHSIEN PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14 GALLIVAN LN, UNCASVILLE, CT 06382-1208
(860) 389-3148
(860) 367-0668
Mailing address
14 GALLIVAN LN, UNCASVILLE, CT 06382-1208
(860) 367-0688
(860) 367-0668
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
009652
CT
1223P0700X
Prosthodontics
048520-1
NY
Other
Enumeration date
08/26/2005
Last updated
08/21/2013
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