Individual
JINGQIAN YUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8012 112TH STREET CT E STE 320, PUYALLUP, WA 98373-7856
(248) 918-9842
Mailing address
102 N G ST, APT #225, TACOMA, WA 98403
(248) 918-9842
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60862736
WA
Other
Enumeration date
07/22/2018
Last updated
07/22/2018
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