NPI 1003082652

Jonathan Yang, DDS

Practitioner General Practice Dentistry Lapine, OR

Practice location

Address: 16475 Bluewood Pl, Lapine, OR 97739
Phone: (541) 536-0264
Fax: (541) 536-0266
Mailing address: PO Box 2999 16475 Bluewood Pl, La Pine, OR 97739-2999

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D7823 (OR)

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Registry record

NPI: 1003082652
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 May 2008
Record last updated: 5 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.