NPI 1992922272

Shi Yan, DENTURIST

Practitioner Denturist Shelton, WA

Practice location

Address: 3100 SE Old Olympic Hwy, Shelton, WA 98584-7731
Phone: (360) 427-1784
Fax: (360) 427-1818

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DN00000236 (WA)

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Registry record

NPI: 1992922272
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.