Individual
DR. GRACE SOONJUNG YAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
210 ROUNDHOUSE CT, BALTIMORE, MD 21230-2100
(410) 752-0657
Mailing address
210 ROUNDHOUSE CT, BALTIMORE, MD 21230-2100
(410) 752-0657
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13626
MD
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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