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Individual

DR. JACQUELINE YIP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
391 N CONGRESS AVE, BOYNTON BEACH, FL 33426-3415
(561) 336-6560
Mailing address
22714 ASPECT DR APT 301, BOCA RATON, FL 33428-3659

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0442000420
VA
1223G0001X
General Practice Dentistry
DS042800
PA
1223P0221X
Pediatric Dentistry
Primary
DN27688
FL

Other

Enumeration date
07/08/2020
Last updated
07/19/2023
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