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Organization
NICHOLAS TJ YATCO DDS INC
Active
Organization
NICHOLAS TJ YATCO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS TJ YATCO DDS (DENTIST)
(510) 386-9176
Entity
Organization
Contact information
Practice address
20600 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5432
(510) 581-4124
Mailing address
20600 LAKE CHABOT RD STE 103, CASTRO VALLEY, CA 94546-5432
(510) 581-4124
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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