Individual
DR. JOHN MICHAEL YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H.
Contact information
Practice address
323 LINCOLN BLVD, VENICE, CA 90291-2842
(310) 392-4103
Mailing address
10951 NATIONAL BLVD, #103, LOS ANGELES, CA 90064-4042
(310) 474-8940
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
40407
CA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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