Individual provider · Type 1 NPI

Yi Xuan Mao, DENTAL STUDENT

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1609790740 Active

Practice location

240 South 40th Street, Office Of Clinical AFFAIRS-S6A Evans Upenn School Of De
Philadelphia, PA 19104

Call (215) 898-8965 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609790740

Yi Xuan Mao, DENTAL STUDENT's National Provider Identifier is 1609790740, issued on Aug 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 10, 2026.