Organization
SUNFLOWER PEDIATRIC DENTISTRY BY YING AN DDS PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YING AN DDS PHD (OWNER)
(440) 273-8104
Entity
Organization
Contact information
Practice address
13801 W CENTER ST UNIT 1, BURTON, OH 44021
(440) 273-8104
Mailing address
PO BOX 428, BURTON, OH 44021-0428
(440) 273-8104
(440) 273-8106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780032045
NPI
OH
01
—
30.024747
DENTAL LICENSE
OH
05
—
457675
—
OH
Enumeration date
10/25/2024
Last updated
10/25/2024
Update your record
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