| Theodore Yang Dds A Professional Corporation | |
|
55 E Live Oak Ave Arcadia CA 91006-5234 | |
| (626) 447-6089 | |
| (626) 446-6822 |
| Full Name | Theodore Yang Dds A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 55 E Live Oak Ave, Arcadia, California |
| Authorized Official Name and Position | Theodore Min Yang (PRESIDENT) |
| Authorized Official Contact | 6264476089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Yang Dds A Professional Corporation 55 E Live Oak Ave Arcadia CA 91006-5234 Ph: (626) 447-6089 | Theodore Yang Dds A Professional Corporation 55 E Live Oak Ave Arcadia CA 91006-5234 Ph: (626) 447-6089 |
| NPI Number | 1477782829 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477782829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 49459 (California) | Primary |
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