Individual
PEGGY B. YAMAGATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7334 GIRARD AVE, #104, LA JOLLA, CA 92037-5141
(858) 459-3381
Mailing address
12533 SAN BRUNO CV, SAN DIEGO, CA 92130-2287
(858) 755-8842
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4409
CA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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