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Individual

DR. WEIDONG YANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
4133 OGLETOWN STANTON RD, NEWARK, DE 19713-4168
(302) 893-6989
(215) 389-3876
Mailing address
10 FIRETHORN CT, NEWARK, DE 19711-4908
(302) 893-6989

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0001354
DE
1223G0001X
General Practice Dentistry
DS039134
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
YANGWD
DE
05
YANGWD
PA
Enumeration date
07/02/2012
Last updated
03/13/2016
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