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Shi Yan, DENTURIST
Denturist in Shelton, Washington
NPI 1992922272

Shi Yan is a Denturist based in Shelton, WA. Shi Yan practices in Shelton, WA and has the professional credentials of DENTURIST. The NPI Number for Shi Yan is 1992922272 and holds a License No. DN00000236 (Washington).

The current practice location address for Shi Yan is 3100 Se Old Olympic Hwy, Shelton, WA and can be reached out via phone at 360-427-1784 and via fax at 360-427-1818.

Location: 3100 Se Old Olympic Hwy, Shelton, WA, 98584-7731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992922272
Provider Name
Shi Yan
Credential
DENTURIST
Provider Entity Type
Individual
Gender
Male
Address
3100 Se Old Olympic Hwy, Shelton, WA, 98584-7731
Phone Number
360-427-1784
Fax Number
360-427-1818
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5035415 05 WA
institution
Provider Business Practice Location Address Details
Address
3100 Se Old Olympic Hwy
City
Shelton
State
Washington
Zip
98584-7731
Phone Number
360-427-1784
Fax Number
360-427-1818
person
Provider Business Mailing Address Details
Address
3100 Se Old Olympic Hwy
City
Shelton
State
Washington
Zip
98584-7731
Phone Number
360-427-1784
Fax Number
360-427-1818
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DN00000236 (Washington)
Definition
Definition to come.
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