Individual
DR. TONY YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702
(715) 387-0057
Mailing address
54 HEARST, IRVINE, CA 92620-4203
(949) 892-9088
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
054147
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1002522-15
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
74078
WI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
OMS84
CA
208600000X
Surgery Physician
A103339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700044237
—
CA
Enumeration date
05/30/2008
Last updated
04/25/2024
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