Organization
YAGUDAEV DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM YAGUDAEV DDS (OWNER)
(310) 951-9008
Entity
Organization
Contact information
Practice address
7676 JACKSON DR, SAN DIEGO, CA 92119-1500
(619) 582-3600
Mailing address
6263 LAKE LOMOND DR, SAN DIEGO, CA 92119-3029
(310) 951-9008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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