Individual
STEPHANIE YEUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 COLORADO AVE STE H, SANTA MONICA, CA 90404-3589
(310) 400-6352
Mailing address
2200 COLORADO AVE STE H, SANTA MONICA, CA 90404-3589
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60266
CA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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