Individual
DR. DUANE K YAMASHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
100 N MEDICAL DR, STE 3575, SALT LAKE CITY, UT 84113-1103
(801) 662-3930
(801) 662-3933
Mailing address
100 MARIO CAPECCHI DR, STE 3575, SALT LAKE CITY, UT 84113-1103
(801) 662-3930
(801) 662-3933
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
141853-9921
UT
1223P0221X
Pediatric Dentistry
141853
UT
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
141853-9921
UT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
141853
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112651200
—
WY
05
—
805165800
—
ID
Enumeration date
06/28/2007
Last updated
12/20/2021
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