Provider Demographics
NPI:1861988362
Name:DENG, XIAOYING (DDS)
Entity type:Individual
Prefix:
First Name:XIAOYING
Middle Name:
Last Name:DENG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21317 48TH AVE W UNIT E1
Mailing Address - Street 2:
Mailing Address - City:MOUNTLAKE TERRACE
Mailing Address - State:WA
Mailing Address - Zip Code:98043-3469
Mailing Address - Country:US
Mailing Address - Phone:718-517-0072
Mailing Address - Fax:
Practice Address - Street 1:21317 48TH AVE W UNIT E1
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-3469
Practice Address - Country:US
Practice Address - Phone:718-517-0072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61311424122300000X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist