Individual
DR. YIYU JADE FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, PHD
Contact information
Practice address
2611 S QUILLAN PL STE 110, KENNEWICK, WA 99338-1899
(509) 585-5437
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010661
WA
1223G0001X
General Practice Dentistry
DE00010661
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DE00010661
WA
Other
Enumeration date
09/12/2007
Last updated
03/04/2026
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