Organization
YI DENTAL, DMD, PC
Active
Other names
Family Dentistry of Buckeye
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYONG H YI DMD (PRESIDENT)
(623) 386-3333
Entity
Organization
Contact information
Practice address
1300 S WATSON RD, SUITE A-100, BUCKEYE, AZ 85326-6303
(623) 386-3333
(623) 386-3544
Mailing address
1300 S WATSON RD, SUITE A-100, BUCKEYE, AZ 85326-6303
(623) 386-3333
(623) 386-3544
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6436
AZ
Other
Enumeration date
10/28/2011
Last updated
12/16/2011
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