Yangbasai Dong

NPI #1033787379 in Rockford, Illinois

Provider Information

NPI Number: 1033787379
Entity Type: Individual
Name: Yangbasai Dong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 5819 E RIVERSIDE BLVD # 21
City: Rockford
State: Illinois
ZIP Code: 61114-4963
Phone: (815) 282-4311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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