Provider Demographics
NPI:1558448076
Name:YANG, WENDY T (DDS)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:T
Last Name:YANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 W IMPERIAL HWY
Mailing Address - Street 2:#H
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821
Mailing Address - Country:US
Mailing Address - Phone:714-529-1232
Mailing Address - Fax:714-529-1232
Practice Address - Street 1:649 W IMPERIAL HWY
Practice Address - Street 2:SUITE H
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:714-529-1232
Practice Address - Fax:714-529-1232
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42626122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist