NPI | 1649434671 |
---|---|
Professional Name | JEFFREY YANG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 61051) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00011249) |
1223P0300X Dentist, Periodontics (Licence: OR D9409) | |
Enumeration Date | 2008-07-18 |
Last Update Date | 2012-01-09 |