Healthcare Provider Details

I. General information

NPI: 1962323246
Provider Name (Legal Business Name): YASEMIN MUMAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6660 LONE TREE WAY STE 7
BRENTWOOD CA
94513-5310
US

IV. Provider business mailing address

6660 LONE TREE WAY STE 7
BRENTWOOD CA
94513-5310
US

V. Phone/Fax

Practice location:
  • Phone: 925-513-8363
  • Fax:
Mailing address:
  • Phone: 925-513-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS113403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: