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Individual

DR. YISI DAISY JI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, DMD

Contact information

Practice address
250 CHURCH ST SE STE 102, SALEM, OR 97301-3758
(503) 581-1999
Mailing address
250 CHURCH ST SE STE 102, SALEM, OR 97301-3758
(503) 581-1999

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
D12107
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DN1859258
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD216829
OR

Other

Enumeration date
06/29/2018
Last updated
05/24/2025
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