Individual
JUDY L YIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104025
CA
1223P0221X
Pediatric Dentistry
DDS104025
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2017
Last updated
11/29/2021
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