Organization
STEPHAN YOON DMD INC
Active
Other names
Salt & Light Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE P PURNOMO DDS MS (ORTHODONTIST/OWNER)
(415) 859-8135
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY STE 215, IRVINE, CA 92618-3176
(949) 412-5734
Mailing address
113 WATERWORKS WAY STE 215, IRVINE, CA 92618-3176
(949) 412-5734
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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