Organization
YANGDDSPLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MENGCHI STEVEN YANG (MANAGE MEMBER)
99802025696
Entity
Organization
Contact information
Practice address
2221 DEER MEADOWS DR, WAXHAW, NC 28173-7265
(980) 202-5696
(980) 434-0504
Mailing address
2221 DEER MEADOWS DR, WAXHAW, NC 28173-7265
(980) 202-5696
(980) 434-0504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9853
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9853
DENTAL LIC#
NC
Enumeration date
11/11/2016
Last updated
11/11/2016
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