Individual
TIMOTHY DANIEL YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4301 WILSON ST, LAWTON, OK 73503-4472
(833) 286-3732
Mailing address
9630 SUSIES WAY, ELLICOTT CITY, MD 21042-2308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
862280
PA
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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