Organization
JAE YOO, DDS, MSD, INC
Active
Other names
Midland Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE Y YOO DDS, MSD (OWNER DENTIST)
(858) 883-4860
Entity
Organization
Contact information
Practice address
14021 MIDLAND RD, POWAY, CA 92064-3959
(858) 883-4842
(858) 883-4845
Mailing address
14021 MIDLAND RD, POWAY, CA 92064-3959
(858) 883-4842
(858) 883-4845
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103617
DENTIST
CA
Enumeration date
05/31/2022
Last updated
08/26/2022
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