Organization
JACK YU DDS INC
Active
Other names
Grandview Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK T YU (OWNER)
(909) 591-1055
Entity
Organization
Contact information
Practice address
13768 ROSWELL AVE STE 210, CHINO, CA 91710-1407
(909) 591-1055
Mailing address
13768 ROSWELL AVE STE 210, CHINO, CA 91710-1407
(909) 591-1055
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
48412
CA
Other
Enumeration date
03/15/2018
Last updated
04/25/2018
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