Individual
JUDY CHIA-CHEN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST # MC621, CHICAGO, IL 60612-7210
(312) 996-7736
Mailing address
801 S PAULINA ST # MC621, CHICAGO, IL 60612-7210
(312) 996-7736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019027543
IL
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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