Individual
DR. FENGYUAN YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
17457 CAFFEE RD STE 204, DAHLGREN, VA 22448-5120
(540) 653-4165
Mailing address
7112 162ND ST # 3F, FRESH MEADOWS, NY 11365-3691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11797305-9921
UT
171000000X
Military Health Care Provider
Primary
11797305-9921
UT
Other
Enumeration date
06/05/2020
Last updated
08/19/2023
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