Individual
FEI YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 ACADEMY ST, PRESQUE ISLE, ME 04769-3005
(207) 554-5045
Mailing address
122 ACADEMY ST, PRESQUE ISLE, ME 04769-3005
(207) 554-5045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11952
OR
122300000X
Dentist
DEN5060
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D11952
OREGON MEDICAL BOARD
OR
Enumeration date
06/15/2023
Last updated
04/09/2024
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