Individual
CLEO YI
Active
Individual
CLEO YI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS041918
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1002776-15
WI
Other
Enumeration date
08/23/2018
Last updated
07/08/2022
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