Individual
STEPHANIE RACHEL YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 LONGWOOD AVE, BOSTON, MA 02115-5819
(617) 432-1434
Mailing address
95 SAINT ALPHONSUS ST APT 612, BOSTON, MA 02120-1711
(626) 678-6332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10000219
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2024
Last updated
10/01/2024
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