Individual
DR. BORAM YOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1128 19TH ST, SANTA MONICA, CA 90403-5629
(310) 406-3000
Mailing address
1128 19TH ST, SANTA MONICA, CA 90403-5629
(310) 406-3000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
56697
CA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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