Provider Demographics
NPI:1346706363
Name:TODD M YONEMURA DDS, APC
Entity Type:Organization
Organization Name:TODD M YONEMURA DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:M
Authorized Official - Last Name:YONEMURA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-831-8792
Mailing Address - Street 1:400 EL CERRO BLVD., SUITE #103
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526
Mailing Address - Country:US
Mailing Address - Phone:925-831-8792
Mailing Address - Fax:925-831-8793
Practice Address - Street 1:400 EL CERRO BLVD., SUITE #103
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526
Practice Address - Country:US
Practice Address - Phone:925-831-8792
Practice Address - Fax:925-831-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty