Individual
YANYAN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
X2
Contact information
Practice address
1434 PORTER ST, FORT DETRICK, MD 21702-9254
(301) 619-7656
Mailing address
1434 PORTER ST, FORT DETRICK, MD 21702-9254
(301) 619-7656
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2022
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