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Individual

DONALD M YAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S M.P.H

Contact information

Practice address
55 W SIERRA MADRE BLVD, 215, SIERRA MADRE, CA 91024-2467
(626) 355-2391
(626) 355-5707
Mailing address
55 W SIERRA MADRE BLVD, 215, SIERRA MADRE, CA 91024-2467
(626) 355-2391
(626) 355-5707

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
28114
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821198656
CORPORATION NPI
CA
Enumeration date
11/24/2008
Last updated
11/24/2008
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