Individual
JIAYI QU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2402 S JEFFERSON AVE, MT PLEASANT, TX 75455-5959
(903) 573-7195
Mailing address
2402 S JEFFERSON AVE, MT PLEASANT, TX 75455-5959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41515
TX
Other
Enumeration date
03/06/2023
Last updated
07/05/2025
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