Individual
DR. YI-TAI JOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
240 S 40TH ST, UNIVERSITY OF PENNSYLVANIA, SDM, PHILADELPHIA, PA 19104-6030
(215) 898-4927
(215) 573-2148
Mailing address
240 S 40TH ST, UNIVERSITY OF PENNSYLVANIA, SDM, PHILADELPHIA, PA 19104-6030
(215) 898-4927
(215) 573-2148
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS031354L
PA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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