# YIP HORIZON RIDGE MODERN DENTISTRY, PC

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

## Provider details

- **NPI number:** 1821623059
- **Authorized official:** MANDY YIP (OWNER)
- **Authorized official phone:** (714) 845-8500

## Contact information

- **Practice address:** 10525 S EASTERN AVE STE 100, HENDERSON, NV 89052-3971
- **Practice address phone:** (702) 508-0906
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2020
- **Last updated:** 03/09/2020