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Individual

DR. JAE YOUNG YOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MSD

Contact information

Practice address
14021 MIDLAND RD, POWAY, CA 92064-3959
(858) 883-4860
(858) 883-4845
Mailing address
14021 MIDLAND RD, POWAY, CA 92064-3959
(858) 883-4860
(858) 883-4845

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
00203357
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103617
CA

Other

Enumeration date
01/12/2018
Last updated
08/26/2022
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