Individual
LO VAN YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
329 CRICHTON ST, RUSKIN, FL 33570-4931
(813) 546-6444
Mailing address
329 CRICHTON ST, RUSKIN, FL 33570-4931
(813) 546-6444
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH19832
FL
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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