Healthcare Provider Details

I. General information

NPI: 1831344324
Provider Name (Legal Business Name): DENNIS YEE GENERAL DENTIST
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2008
Last Update Date: 11/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6035 BRISTOL PKWY STE 200
CULVER CITY CA
90230-6653
US

IV. Provider business mailing address

914 WESTWOOD BLVD # 252
LOS ANGELES CA
90024-2905
US

V. Phone/Fax

Practice location:
  • Phone: 800-373-5400
  • Fax: 888-492-2900
Mailing address:
  • Phone: 800-373-5400
  • Fax: 888-492-2900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number27220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: