Organization
SEQUOIA PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK YEUNG DDS (PEDIATRIC DENTIST)
(415) 730-2818
Entity
Organization
Contact information
Practice address
2946 BROADWAY, REDWOOD CITY, CA 94062-1510
(415) 730-2818
Mailing address
2946 BROADWAY, REDWOOD CITY, CA 94062-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
63460
CA
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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