MS. CI YEN JOANNA MAN DDS. NPI 1720602964

NPI Information

MS. Ci Yen Joanna Man, DDS. is a student in an organized health care education training program in Portland, ME. The provider is 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. MS. Ci Yen Joanna Man, DDS. NPI is 1720602964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

190 PARK AVE.
PORTLAND, ME
ZIP 04102
Phone: (207) 874-1028
Fax: (207) 842-2963

The enumeration date for this NPI number is 6/3/2020 and was last updated on 8/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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