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NPI Code Detail

MEDICARE: DR. ANNA YOON DDS

MEDICARE: DR. ANNA YOON DDS
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
1122300000XDentist45218CA

General Provider Information

NPI Number : 1780725937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNA YOON DDS
Provider Business Mailing Address
First Line : 1840 EL CAMINO REAL
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-3102
Country : US
Telephone Number : 650-697-1500
Fax Number :
Provider Business Practice Location Address
First Line : 1840 EL CAMINO REAL
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-3102
Country : US
Telephone Number : 650-697-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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