Organization
DR.CHARLES C JENG/DR.MARTHA Z YAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA Z YAN D.D.S. (CO-ONWER)
(310) 829-1559
Entity
Organization
Contact information
Practice address
3011 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2555
(310) 829-1559
(310) 828-7383
Mailing address
3011 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2555
(310) 829-1559
(310) 828-7383
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
50021
CA
Other
Enumeration date
08/10/2008
Last updated
08/10/2008
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