| Lucas S Yen Dds A Dental Corp | |
|
15726 1/2 E Gale Ave Hacienda Heights CA 91745 | |
| (626) 961-9757 | |
| (626) 961-9757 |
| Full Name | Lucas S Yen Dds A Dental Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15726 1/2 E Gale Ave, Hacienda Heights, California |
| Authorized Official Name and Position | Lucas Shang Yen (PRESIDENT) |
| Authorized Official Contact | 6269619757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas S Yen Dds A Dental Corp 15726 1/2 E Gale Ave Hacienda Heights CA 91745 Ph: (626) 961-9757 | Lucas S Yen Dds A Dental Corp 15726 1/2 E Gale Ave Hacienda Heights CA 91745 Ph: (626) 961-9757 |
| NPI Number | 1295840536 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295840536 | NPI | - | NPPES |
| B28116 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CA28116 (California) | Primary |
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