| Tony Yang, D.d.s.,m.d., Corp. | |
|
113 Waterworks Way Ste 110 Irvine CA 92618-3171 | |
| (949) 393-5789 | |
| Not Available |
| Full Name | Tony Yang, D.d.s.,m.d., Corp. |
|---|---|
| Speciality | Clinic/center - Oral And Maxillofacial Surgery |
| Location | 113 Waterworks Way Ste 110, Irvine, California |
| Authorized Official Name and Position | Tony Yang (CEO) |
| Authorized Official Contact | 9498929088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Yang, D.d.s.,m.d., Corp. 113 Waterworks Way Ste 110 Irvine CA 92618-3171 Ph: (949) 393-5789 | Tony Yang, D.d.s.,m.d., Corp. 113 Waterworks Way Ste 110 Irvine CA 92618-3171 Ph: (949) 393-5789 |
| NPI Number | 1093197816 |
|---|---|
| Provider Enumeration Date | 06/29/2015 |
| Last Update Date | 06/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093197816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 103339 (California) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | OMS84 (California) | Primary |
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