Provider Demographics
NPI:1093947632
Name:YANG, SARAH A (DDS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:A
Last Name:YANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AYE
Other - Middle Name:AYE
Other - Last Name:SWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9310 BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-5821
Mailing Address - Country:US
Mailing Address - Phone:909-989-1868
Mailing Address - Fax:
Practice Address - Street 1:9310 BASELINE RD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-5821
Practice Address - Country:US
Practice Address - Phone:909-989-1868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-16
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58578122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist