Nicholas Tj Yatco DDS INC
Clinic/Center, Dental in Castro Valley, CA. Organization (NPI-2).
NPI number1912565151
StatusActive
Last updated in NPPESJun 3, 2019
Details
- NPI
- 1912565151
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicholas Tj Yatco DDS INC
- Organization subpart
- No
- Enumeration date
- Jun 3, 2019
- Last updated
- Jun 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
20600 Lake Chabot RdCastro Valley, CA 94546-5432
Phone 510-581-4124
Mailing address
20600 Lake Chabot Rd Ste 103Castro Valley, CA 94546-5432
Phone 510-581-4124
Other practice locations
6822 Jarvis Ave
Newark, CA 94560-1172
Newark, CA 94560-1172
Phone 510-386-9176
Authorized official
Nicholas Tj Yatco
Dentist
5103869176
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