# DR.CHARLES C JENG/DR.MARTHA Z YAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437305455
- **Authorized official:** DR. MARTHA Z YAN D.D.S. (CO-ONWER)
- **Authorized official phone:** (310) 829-1559

## Contact information

- **Practice address:** 3011 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2555
- **Practice address phone:** (310) 829-1559
- **Practice address fax:** (310) 828-7383
- **Mailing address:** 3011 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2555
- **Mailing address phone:** (310) 829-1559
- **Mailing address fax:** (310) 828-7383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 50021 | CA | Yes |

## Other

- **Enumeration date:** 08/10/2008
- **Last updated:** 08/10/2008