Kirk Yen, Dds, Inc. | |
1660 Willow St Suite 5 San Jose CA 95125-5101 | |
(408) 265-7530 | |
(408) 265-7532 |
Full Name | Kirk Yen, Dds, Inc. |
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Speciality | Clinic/center - Dental |
Location | 1660 Willow St, San Jose, California |
Authorized Official Name and Position | Kirk Yen (PRESIDENT) |
Authorized Official Contact | 4082657530 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kirk Yen, Dds, Inc. 1660 Willow St Suite 5 San Jose CA 95125-5101 Ph: (408) 265-7530 | Kirk Yen, Dds, Inc. 1660 Willow St Suite 5 San Jose CA 95125-5101 Ph: (408) 265-7530 |
NPI Number | 1437457553 |
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Provider Enumeration Date | 03/14/2011 |
Last Update Date | 03/14/2011 |
Identifier | Type | State | Issuer |
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1437457553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 028265 (California) | Primary |
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