Organization
KIYOMI YAMAZAKI, DDS, INC
Active
Other names
GARDENA FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIYOMI YAMAZAKI DDS (CEO)
(310) 327-9130
Entity
Organization
Contact information
Practice address
1143 W GARDENA BLVD, GARDENA, CA 90247-4823
(310) 327-9130
(310) 327-9146
Mailing address
1143 W GARDENA BLVD, GARDENA, CA 90247-4823
(310) 327-9130
(310) 327-9146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
CA
1223P0221X
Pediatric Dentistry
—
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
CA
Other
Enumeration date
09/09/2009
Last updated
10/16/2013
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