Individual
DR. LUIS EDUARDO YAQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7806 CENTREVILLE RD, MANASSAS, VA 20111-2231
(703) 368-1166
Mailing address
6164 GREEN MEADOW PKWY, BALTIMORE, MD 21209-3313
(410) 409-6332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411697
VA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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