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NPI Code Detail

MEDICARE: YEH DENTAL LLC

MEDICARE: YEH DENTAL LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center22DI02577900NJ

General Provider Information

NPI Number : 1275032617
Entity Type Code : Organization
Provider Name (Legal Business Name) : YEH DENTAL LLC
Provider Business Mailing Address
First Line : 1460 BROAD ST
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3014
Country : US
Telephone Number : 973-338-9595
Fax Number :
Provider Business Practice Location Address
First Line : 1460 BROAD ST
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3014
Country : US
Telephone Number : 973-338-9595
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. ARTHUR J YEH
Credential : DDS
Telephone Number : 973-338-9595
Provider Enumeration Date : 02/11/2018
Last Update Date : 02/27/2018

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Directions to “YEH DENTAL LLC ” Practice Location

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