Organization · NPI-2

Juhyong Yi Dental Corporation

Clinic/Center · Mountain View, CA

NPI number1902507445
StatusActive
Last updated in NPPESMar 13, 2023

Details

NPI
1902507445
Entity type
Organization (NPI-2)
Legal business name
Juhyong Yi Dental Corporation
Organization subpart
No
Enumeration date
Mar 13, 2023
Certification date
Mar 13, 2023
Last updated
Mar 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

1045 W El Camino Real
Suite B
Mountain View, CA 94040

Phone 650-964-2225 · Fax 650-964-2056

Mailing address

1045 W El Camino Real
Suite B
Mountain View, CA 94040

Phone 650-964-2225 · Fax 650-964-2056

Authorized official

Jeong Oh
Office Manager
6509642225

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