Individual
YALI LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 TRUMAN RD, NEWTON CENTER, MA 02459-2638
(901) 337-8051
Mailing address
25 TRUMAN RD, NEWTON CENTER, MA 02459-2638
(901) 337-8051
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1858820
MA
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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