Individual
RAN YAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 ESSEX ST UNIT 1A1, LAWRENCE, MA 01841-4396
(978) 683-2200
Mailing address
2373 KENILWORTH RD, CLEVELAND HEIGHTS, OH 44106-2768
(312) 753-9176
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859026
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2021
Last updated
06/15/2021
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