Provider Demographics
NPI:1467685123
Name:HOWARD, YONATAN DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:YONATAN
Middle Name:DAVID
Last Name:HOWARD
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 1:17071 VENTURA BLVD
Mailing Address - Street 2:STE. 102
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4130
Mailing Address - Country:US
Mailing Address - Phone:818-300-0222
Mailing Address - Fax:818-300-0077
Practice Address - Street 1:17071 VENTURA BLVD
Practice Address - Street 2:STE. 102
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4130
Practice Address - Country:US
Practice Address - Phone:818-300-0222
Practice Address - Fax:818-300-0077
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58707122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist