Provider Demographics
NPI:1033378633
Name:YOKAITIS, MARLENA HELEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARLENA
Middle Name:HELEN
Last Name:YOKAITIS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 THE COVE COURT
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355
Mailing Address - Country:US
Mailing Address - Phone:209-571-3933
Mailing Address - Fax:
Practice Address - Street 1:1101 STANDIFORD AVE
Practice Address - Street 2:SUITE D-3
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350
Practice Address - Country:US
Practice Address - Phone:209-571-5429
Practice Address - Fax:209-571-3740
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice