Individual
ANNIE YI YAN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
17401 BASTANCHURY RD STE 103, YORBA LINDA, CA 92886-1320
(714) 524-3368
Mailing address
1074 JACKSON XING, JACKSON, MI 49202-2039
(517) 840-0000
(517) 841-0180
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
103403
CA
Other
Enumeration date
07/10/2013
Last updated
02/20/2020
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