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Organization

GERYOUNG YANG, D.D.S.; INC

Active
Parent organization
GERYOUNG YANG, D.D.S.; INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GERYOUNG YANG, D.D.S.; INC
Authorized official
DR. GERYOUNG YANG D.D.S. (OWNER/PRESIDENT)
(916) 393-4044
Entity
Organization

Contact information

Practice address
1355 FLORIN RD STE 8, SACRAMENTO, CA 95822-4200
(916) 393-4044
(916) 393-4077
Mailing address
1355 FLORIN RD STE 8, SACRAMENTO, CA 95822-4200
(916) 393-4044
(916) 393-4077

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
39500
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B-39500-02
CA
05
B39500-03
CA
Enumeration date
08/09/2007
Last updated
08/09/2007
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