Provider Demographics
NPI:1215403555
Name:YANINA JOUZY DDS INC.
Entity Type:Organization
Organization Name:YANINA JOUZY DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YANINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOUZY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-487-4542
Mailing Address - Street 1:1033 W ARROW HWY
Mailing Address - Street 2:
Mailing Address - City:SAN DIMAS
Mailing Address - State:CA
Mailing Address - Zip Code:91773-2422
Mailing Address - Country:US
Mailing Address - Phone:909-447-7092
Mailing Address - Fax:
Practice Address - Street 1:1033 W ARROW HWY
Practice Address - Street 2:
Practice Address - City:SAN DIMAS
Practice Address - State:CA
Practice Address - Zip Code:91773-2422
Practice Address - Country:US
Practice Address - Phone:909-447-7092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-14
Last Update Date:2018-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty