Organization
YIYU FANG DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YIYU JADE FANG D.D.S, PHD (PRESIDENT)
(509) 438-3044
Entity
Organization
Contact information
Practice address
1410 N PITTSBURG ST STE B2, KENNEWICK, WA 99336-8211
(509) 736-2000
Mailing address
1410 N PITTSBURG ST STE B2, KENNEWICK, WA 99336-8211
(509) 438-3044
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00010661
WA
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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