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Organization
YANG DENTAL CORP
Active
Organization
YANG DENTAL CORP
Active
Other names
Page Street Dental Care Office of Leo Yang, DDS &Kimberly Brasil RDHAP
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BRASIL RDHAP (OWNER/RDHAP)
(707) 548-2789
Entity
Organization
Contact information
Practice address
7 PAGE ST, COTATI, CA 94931-4314
(707) 665-6122
(707) 262-9146
Mailing address
7 PAGE ST, COTATI, CA 94931-4314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083112221
RDHAP
CA
01
—
1780800383
DDS
CA
Enumeration date
06/27/2022
Last updated
06/29/2022
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