Individual
XIAOFEN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
234 E 149TH ST, DENTAL, BRONX, NY 10451-5589
(718) 579-4657
(718) 579-4744
Mailing address
234 E 149TH ST, BRONX, NY 10451-5589
(718) 579-4657
(718) 579-4744
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025022-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025022-1
NYS LICENSE NUMBER
NY
Enumeration date
07/19/2018
Last updated
07/19/2018
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