Individual
DR. KASSYNI PANGDRA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8511 JEFFERSON LN N, MINNEAPOLIS, MN 55445-2121
(763) 205-0526
Mailing address
8511 JEFFERSON LN N, MINNEAPOLIS, MN 55445-2121
(763) 205-0526
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1234
MN
Other
Enumeration date
06/14/2011
Last updated
10/25/2015
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