Individual
YIWEI GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
651 HIGH ST, BURLINGTON, NJ 08016-2737
(609) 386-0775
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037
(609) 567-0200
(609) 567-1169
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02766300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0695947
—
NJ
Enumeration date
07/08/2019
Last updated
06/04/2020
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