Individual
YINJIE ZHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
982 E MAIN ST, BRIDGEPORT, CT 06608-1913
(203) 616-4987
Mailing address
170 AMSTERDAM AVE APT 8J, NEW YORK, NY 10023-5056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12993
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
10/19/2022
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