Individual
DR. JELSON JONATHAN YALUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
912 17TH ST, SANTA MONICA, CA 90403-3225
(310) 439-8321
Mailing address
PO BOX 491022, LOS ANGELES, CA 90049-9022
(310) 439-8321
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
60979
CA
Other
Enumeration date
08/28/2012
Last updated
03/12/2020
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