Organization
NICHOLAS TJ YATCO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS TJ YATCO DDS (DENTIST)
(510) 386-9176
Entity
Organization
Contact information
Practice address
20600 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5432
(510) 581-4124
Mailing address
20600 LAKE CHABOT RD STE 103, CASTRO VALLEY, CA 94546-5432
(510) 581-4124
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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