Individual
PETER YANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
513 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2205
(415) 476-1323
Mailing address
2413 S AZUSA AVE, WEST COVINA, CA 91792-1536
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
102635
CA
390200000X
Student in an Organized Health Care Education/Training Program
102635
CA
Other
Enumeration date
07/09/2018
Last updated
06/10/2021
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