Individual
YAO QI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1201 BROADWAY SPC E215, SAUGUS, MA 01906-4276
(617) 756-1928
(888) 832-8267
Mailing address
1201 BROADWAY SPC E215, SAUGUS, MA 01906-4276
(617) 756-1928
(888) 832-8267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.034033
IL
122300000X
Dentist
DN1859400
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2022
Last updated
05/04/2023
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