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General NPI Number Information
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NPI Number | 1326273129
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Entity Type | Organization
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Legal Business Name | DAVID YOO DMD,INC
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Dates
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Enumeration Date | 05/22/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 2326 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-4002
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Country | US
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Telephone | 213-387-4366
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Fax | 213-387-3547
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Provider Business Mailing Address
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Address Line | 2326 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90006-4002
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Country | US
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Telephone | 213-387-4366
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Fax | 213-387-3547
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID D YOO
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Credential | DMD
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Telephone | 213-387-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 51676
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License Number State | CA
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