Individual
RICHARD RONGQUAN SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
984 N BROADWAY STE 410, YONKERS, NY 10701-1308
(914) 476-3838
Mailing address
14962 45TH AVE, FLUSHING, NY 11355-1709
(646) 886-6889
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
023512-01
NY
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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