Provider Demographics
NPI:1124902903
Name:YANG, RUQIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:RUQIAN
Middle Name:
Last Name:YANG
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 1:18532 FIRLANDS WAY N STE B
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-3986
Mailing Address - Country:US
Mailing Address - Phone:206-367-4281
Mailing Address - Fax:
Practice Address - Street 1:18532 FIRLANDS WAY N STE B
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3986
Practice Address - Country:US
Practice Address - Phone:206-367-4281
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA70010576122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist