MEDICARE: DR. YANG SHIEN TSENG D.D.S.

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
1	1223G0001X	General Practice Dentistry	9747	NJ

General Provider Information

NPI Number	:	1407979396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YANG SHIEN TSENG D.D.S.

Provider Business Mailing Address
First Line	:	250 ARTHUR AVE
Second Line	:
City	:	ENGLEWOOD CLIFFS
State	:	NJ
Zip	:	07632-2609
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	349 2ND ST
Second Line	:
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-2669
Country	:	US
Telephone Number	:	201-656-0033
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2007
Last Update Date	:	07/08/2007

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