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Individual

SUELLAN GO YAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
115 E 61ST ST STE 8D, NEW YORK, NY 10065-8185
(212) 319-0090
Mailing address
30 E 37TH ST APT 9F, NEW YORK, NY 10016-3054
(212) 213-8308

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
052947
NY

Other

Enumeration date
03/22/2009
Last updated
02/13/2021
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