Individual
DR. KEVIN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 NOOKSACK AVE, NOOKSACK, WA 98276-8219
(360) 966-3888
Mailing address
111 NOOKSACK AVE, NOOKSACK, WA 98276-8219
(360) 966-3888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60973422
WA
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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