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NPI Code Detail

MEDICARE: DR. ROBERT YAU D.M.D., M.D.

MEDICARE: DR. ROBERT YAU D.M.D., M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
21223S0112XOral and Maxillofacial Surgery (Dentist)S2-197NV

General Provider Information

NPI Number : 1679971790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT YAU D.M.D., M.D.
Provider Business Mailing Address
First Line : 6200 N DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-660-5574
Fax Number :
Provider Business Practice Location Address
First Line : 6200 N DURANGO DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89149-3939
Country : US
Telephone Number : 702-660-5574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2014
Last Update Date : 09/11/2023

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