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NPI Code Detail

MEDICARE: BRIAN H YOON, DMD LLC

MEDICARE: BRIAN H YOON, DMD 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/Center21184MA

General Provider Information

NPI Number : 1992001366
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIAN H YOON, DMD LLC
Provider Business Mailing Address
First Line : 820A TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-6124
Country : US
Telephone Number : 978-269-5045
Fax Number :
Provider Business Practice Location Address
First Line : 820A TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-6124
Country : US
Telephone Number : 978-269-5045
Fax Number :
Authorized Official
Title or Position : DR.
Name : DR. BRIAN YOON
Credential : DMD
Telephone Number : 413-636-4371
Provider Enumeration Date : 02/02/2011
Last Update Date : 02/02/2011

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Directions to “BRIAN H YOON, DMD LLC ” Practice Location

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