Provider Demographics
NPI:1386778702
Name:YANG, LOUIS HONG-YUE (D DS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:HONG-YUE
Last Name:YANG
Suffix:
Gender:M
Credentials:D DS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3183 KINROSS CIR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4054
Mailing Address - Country:US
Mailing Address - Phone:703-787-0329
Mailing Address - Fax:301-933-0261
Practice Address - Street 1:12004 VEIRS MILL RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4513
Practice Address - Country:US
Practice Address - Phone:301-933-0260
Practice Address - Fax:301-933-0261
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD107421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10742OtherDENTAL LICENCE NUMBER