| Jerry Yu Dental Corp | |
|
1461 W Grand Ave Grover Beach CA 93433-2287 | |
| (805) 598-0519 | |
| Not Available |
| Full Name | Jerry Yu Dental Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1461 W Grand Ave, Grover Beach, California |
| Authorized Official Name and Position | Jerry Yu (PRESIDENT) |
| Authorized Official Contact | 8055980519 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Yu Dental Corp 1461 W Grand Ave Grover Beach CA 93433-2287 Ph: (805) 598-0519 | Jerry Yu Dental Corp 1461 W Grand Ave Grover Beach CA 93433-2287 Ph: (805) 598-0519 |
| NPI Number | 1316583065 |
|---|---|
| Provider Enumeration Date | 11/18/2019 |
| Last Update Date | 11/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316583065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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