Organization
THEODORE YANG DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MIN YANG DDS (PRESIDENT)
(626) 447-6089
Entity
Organization
Contact information
Practice address
55 E LIVE OAK AVE, ARCADIA, CA 91006-5234
(626) 447-6089
(626) 446-6822
Mailing address
55 E LIVE OAK AVE, ARCADIA, CA 91006-5234
(626) 447-6089
(626) 446-6822
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49459
CA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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