| NPI | 1881992659 |
|---|---|
| Former Legal Business Name | MY DENTISTS R K YEAGER & ASSOC DDS PA & S |
| Entity Type | Organization |
| Authorized Contact | DEENA MARIE PHINMVONGSA Practice Manager 704-375-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 5251) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2022-07-29 |