Individual
YEN MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
795 N MOUNTAIN AVE, UPLAND, CA 91786-4341
(909) 982-8834
(909) 982-8835
Mailing address
795 N MOUNTAIN AVE, UPLAND, CA 91786-4341
(909) 982-8834
(909) 982-8835
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53246
CA
Other
Enumeration date
12/04/2006
Last updated
04/30/2008
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