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NPI Code Detail

MEDICARE: MRS. XIAOYAN DAI D.M.D.

MEDICARE: MRS. XIAOYAN DAI 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
11223G0001XGeneral Practice DentistryDS-030-580-1PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1978432OTHERPAUNITED CONCORDIA

General Provider Information

NPI Number : 1508910381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. XIAOYAN DAI D.M.D.
Provider Business Mailing Address
First Line : 2901 DUTTON MILL RD STE 130
Second Line :
City : ASTON
State : PA
Zip : 19014-2849
Country : US
Telephone Number : 610-485-4693
Fax Number : 888-855-8556
Provider Business Practice Location Address
First Line : 2901 DUTTON MILL RD STE 130
Second Line :
City : ASTON
State : PA
Zip : 19014-2849
Country : US
Telephone Number : 610-485-4693
Fax Number : 888-855-8556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2007
Last Update Date : 11/28/2022

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