Organization
GEORGE M. YELLICH, DDS, MS., INC. AND CHENG, DDS, MD, INC, PARTNERSHIP
Active
Other names
Santa Cruz Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYESE K EVANS (PRACTICE ADMINISTRATOR)
(831) 475-0221
Entity
Organization
Contact information
Practice address
1663 DOMINICAN WAY, SUITE 112, SANTA CRUZ, CA 95065-1527
(831) 475-0221
(831) 475-3573
Mailing address
1663 DOMINICAN WAY, SUITE 112, SANTA CRUZ, CA 95065-1527
(831) 475-0221
(831) 475-3573
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23580
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2011
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