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NPI Code Detail

MEDICARE: IRIS TINGSHIUAN YANG

MEDICARE:   IRIS TINGSHIUAN YANG
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 DentistryDE61472192WA

General Provider Information

NPI Number : 1720782733
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRIS TINGSHIUAN YANG
Provider Business Mailing Address
First Line : 18606 ALDERWOOD MALL PKWY UNIT 472
Second Line :
City : LYNNWOOD
State : WA
Zip : 98037-8026
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7750 15TH AVE NE STE A
Second Line :
City : SEATTLE
State : WA
Zip : 98115-4314
Country : US
Telephone Number : 206-402-3402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 02/19/2024

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Directions to “ IRIS TINGSHIUAN YANG ” Practice Location

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