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Organization
LAUREL ENDODONTICS
Active
Organization
LAUREL ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN YANG D.M.D. (PRESIDENT)
(650) 654-3636
Entity
Organization
Contact information
Practice address
1178 BRITTAN AVE, SAN CARLOS, CA 94070-3929
(650) 654-3636
Mailing address
1178 BRITTAN AVE, SAN CARLOS, CA 94070-3929
(650) 654-3636
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
CA 56681
CA
Other
Enumeration date
09/20/2012
Last updated
04/15/2013
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