Individual
DONOVAN YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10725 SE 256TH ST STE 1, KENT, WA 98030-8285
(253) 854-2714
Mailing address
7926 110TH AVE SE APT 1307, NEWCASTLE, WA 98056-1692
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61557788
WA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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