Healthcare Provider Details

I. General information

NPI: 1801079348
Provider Name (Legal Business Name): STEVEN BG YAP DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 NORDIC DR APT E
BAKERSFIELD CA
93309-3704
US

IV. Provider business mailing address

4700 NORDIC DR APT E
BAKERSFIELD CA
93309-3704
US

V. Phone/Fax

Practice location:
  • Phone: 661-832-7650
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number24197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: