Individual
BAIYAN DONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 MARKET PL, IRVING, TX 75063-7239
(214) 574-4522
Mailing address
3213 MEREDITH LN, GRAPEVINE, TX 76051-6509
(608) 609-7327
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51746
TX
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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