Individual
DR. JACK YEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1222 MCCLELLAN DR APT 2, LOS ANGELES, CA 90025-1010
(415) 730-2818
Mailing address
1222 MCCLELLAN DR APT 2, LOS ANGELES, CA 90025-1010
(415) 730-2818
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63460
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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