Individual
MONA WUCHEN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2537 N GREENVIEW AVE, CHICAGO, IL 60614-2028
(206) 519-4074
Mailing address
2537 N GREENVIEW AVE, CHICAGO, IL 60614-2028
(206) 519-4074
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021.002699
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE60516648
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2011
Last updated
10/25/2019
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