Individual
JASON YAMADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
23000 CRENSHAW BLVD STE 202, TORRANCE, CA 90505-3061
(310) 320-5661
Mailing address
23000 CRENSHAW BLVD STE 202, TORRANCE, CA 90505-3061
(310) 320-5661
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
38236
CA
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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