Individual
DR. MALISA YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3300 KEMP RD, BEAVERCREEK, OH 45431-4200
(937) 426-2653
Mailing address
100 E 15TH ST., SUITE #520, FORT WORTH, TX 76102
(817) 529-8151
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15851
MD
1223G0001X
General Practice Dentistry
Primary
30.027626
OH
1223G0001X
General Practice Dentistry
32596
TX
Other
Enumeration date
05/28/2015
Last updated
06/26/2024
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