Provider Demographics
NPI:1144411463
Name:YOKOYAMA, CHESTER LEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHESTER
Middle Name:LEE
Last Name:YOKOYAMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1127 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 908
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017
Mailing Address - Country:US
Mailing Address - Phone:213-484-2625
Mailing Address - Fax:213-484-6277
Practice Address - Street 1:1127 WILSHIRE BLVD
Practice Address - Street 2:SUITE 908
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017
Practice Address - Country:US
Practice Address - Phone:213-484-2625
Practice Address - Fax:213-484-6277
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice