Individual
SANDRA L YEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1301 MEDICAL CENTER DR STE B, ROHNERT PARK, CA 94928-2902
(707) 978-2077
Mailing address
1390 N MCDOWELL BLVD STE G #344, PETALUMA, CA 94954-7104
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
64174
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2015
Last updated
12/29/2021
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