Individual
YINA YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(917) 580-2316
Mailing address
1650 3RD AVE APT 4F, NEW YORK, NY 10128-3611
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058837
NY
390200000X
Student in an Organized Health Care Education/Training Program
9175802316
NY
Other
Enumeration date
03/04/2015
Last updated
10/01/2019
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