Individual
DR. HYONMO JEFFREY YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10357 FAIRWAY DR, 100, ROSEVILLE, CA 95678-3544
(360) 713-8600
Mailing address
10357 FAIRWAY DR, 100, ROSEVILLE, CA 95678-3544
(360) 713-8600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DE00011249
WA
1223P0300X
Periodontics
Primary
61051
CA
1223P0300X
Periodontics
D9409
OR
Other
Enumeration date
07/18/2008
Last updated
01/09/2012
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