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General NPI Number Information
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NPI Number | 1144988387
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Entity Type | Organization
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Legal Business Name | ANDY S YOON DENTAL CORPORATION
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 11033 ROSECRANS AVE SUITE D
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City | NORWALK
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State | CA
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Zip | 90650
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Country | US
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Telephone | 562-929-3083
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Fax | 526-278-0320
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Provider Business Mailing Address
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Address Line | 11033 ROSECRANS AVE SUITE D
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City | NORWALK
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State | CA
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Zip | 90650-5306
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Country | US
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Telephone | 562-929-3083
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Fax | 526-278-0320
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ANDY S YOON
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Credential | DMD
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Telephone | 818-414-6546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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