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Theodore Yang DDS A Professional Corporation

Clinic/Center, Dental in Arcadia, CA. Organization (NPI-2).

NPI number1477782829
StatusActive
Last updated in NPPESJul 7, 2009

Details

NPI
1477782829
Entity type
Organization (NPI-2)
Legal business name
Theodore Yang DDS A Professional Corporation
Organization subpart
No
Enumeration date
Jul 7, 2009
Last updated
Jul 7, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental49459CAYes

Practice location

55 E Live Oak Ave
Arcadia, CA 91006-5234

Phone 626-447-6089 · Fax 626-446-6822

Mailing address

55 E Live Oak Ave
Arcadia, CA 91006-5234

Phone 626-447-6089 · Fax 626-446-6822

Authorized official

Theodore Min Yang
President
6264476089

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