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General NPI Number Information
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NPI Number | 1952708711
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Entity Type | Organization
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Legal Business Name | DONALD H. YOUN DDS INC.
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 851 W PACIFIC COAST HWY
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City | WILMINGTON
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State | CA
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Zip | 90744-2549
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Country | US
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Telephone | 310-830-3630
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Fax | 310-830-3534
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Provider Business Mailing Address
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Address Line | 851 W PACIFIC COAST HWY
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City | WILMINGTON
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State | CA
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Zip | 90744-2549
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Country | US
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Telephone | 310-830-3620
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Fax | 310-830-3534
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD H. YOUN
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Credential | DDS
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Telephone | 310-830-3620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 30285
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License Number State | CA
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