Individual
JIAXIN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195-0001
(206) 543-7496
Mailing address
1959 NE PACIFIC STREET; BOX 357134, SEATTLE, WA 98195-0001
(206) 543-7496
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS044186
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DR61546033
WA
Other
Enumeration date
06/28/2023
Last updated
07/11/2024
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