Individual
MANLIU YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
85 THOMAS JOHNSON CT STE A, FREDERICK, MD 21702-4331
(301) 663-0052
Mailing address
85 THOMAS JOHNSON CT STE A, FREDERICK, MD 21702-4331
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019031451
IL
1223E0200X
Endodontics
Primary
17506
MD
390200000X
Student in an Organized Health Care Education/Training Program
390300000X
—
Other
Enumeration date
04/08/2017
Last updated
11/16/2022
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