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Organization

EY YUAN DDS DENTAL CORP

Active
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Organization

EY YUAN DDS DENTAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YI YUAN DDS (OWNER DENTIST)
(619) 870-0858
Entity
Organization

Contact information

Practice address
585 SATURN BLVD STE C, SAN DIEGO, CA 92154-4721
(619) 870-0858
Mailing address
585 SATURN BLVD STE C, SAN DIEGO, CA 92154-4721
(619) 870-0858

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103040
DENTAL LICENSE
CA
Enumeration date
06/18/2024
Last updated
06/18/2024
About Stedi
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