Organization
TONY YANG D.D.S., M.D. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY YANG D.D.S., M.D. (CEO)
(714) 568-0188
Entity
Organization
Contact information
Practice address
801 N TUSTIN AVE STE 502, SANTA ANA, CA 92705-3609
(714) 568-0188
Mailing address
801 N. TUSTIN AVE. SUITE 502, SANTA ANA, CA 92705
(714) 568-0188
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
OMS 84
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700044237
—
CA
Enumeration date
06/24/2009
Last updated
06/24/2009
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