Organization
YU DENTAL GROUP, PLLC
Active
Other names
Icy Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOYD KING TUNG YU D.M.D. (OWNER)
(657) 888-2693
Entity
Organization
Contact information
Practice address
2843 E GRAND RIVER AVE STE 130, EAST LANSING, MI 48823-4989
(657) 888-2693
Mailing address
3901 QUARTERHORSE RD, EAST LANSING, MI 48823-6192
(517) 366-0113
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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