| NPI | 1962545103 |
|---|---|
| Former Legal Business Name | ESTHETIC DENTISTRY DEPARTMENT- BILL YANCEY |
| Entity Type | Organization |
| Authorized Contact | REUBEN KIM Division Chair 310-825-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 21347) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2025-10-09 |