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Organization
LUCAS S YEN DDS A DENTAL CORP
Active
Organization
LUCAS S YEN DDS A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS SHANG YEN DDS (PRESIDENT)
(626) 961-9757
Entity
Organization
Contact information
Practice address
15726 1/2 E GALE AVE, HACIENDA HEIGHTS, CA 91745
(626) 961-9757
(626) 961-9757
Mailing address
15726 1/2 E GALE AVE, HACIENDA HEIGHTS, CA 91745
(626) 961-9757
(626) 961-9757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
CA28116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B28116
—
CA
Enumeration date
08/19/2006
Last updated
08/22/2020
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