Individual
LICHUAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6505 216TH ST SW STE 200, MOUNTLAKE TERRACE, WA 98043-6026
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00009637
WA
Other
Enumeration date
01/30/2007
Last updated
10/27/2020
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