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NPI Code Detail

MEDICARE: WENGUANG YOU D.M.D.

MEDICARE:   WENGUANG  YOU  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0700XProsthodonticsDS036687PA

General Provider Information

NPI Number : 1215018494
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENGUANG YOU D.M.D.
Provider Business Mailing Address
First Line : 3458 NEELY RD
Second Line :
City : JB MDL
State : NJ
Zip : 08641-5312
Country : US
Telephone Number : 215-740-7988
Fax Number :
Provider Business Practice Location Address
First Line : 3458 NEELY RD
Second Line :
City : JB MDL
State : NJ
Zip : 08641-5312
Country : US
Telephone Number : 215-740-7988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 05/10/2018

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Directions to “ WENGUANG YOU D.M.D.” Practice Location

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