Individual
JONATHAN YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16475 BLUEWOOD PL, LAPINE, OR 97739
(541) 536-0264
(541) 536-0266
Mailing address
PO BOX 2999, 16475 BLUEWOOD PL, LA PINE, OR 97739-2999
(541) 536-0264
(541) 536-0266
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7823
OR
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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