Provider Demographics
NPI:1588846174
Name:GO, ROBERT YEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:YEE
Last Name:GO
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 1:2060 S EUCLID ST
Mailing Address - Street 2:SUITE G
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-3131
Mailing Address - Country:US
Mailing Address - Phone:714-638-0018
Mailing Address - Fax:714-844-4333
Practice Address - Street 1:2060 S EUCLID ST
Practice Address - Street 2:SUITE G
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-3131
Practice Address - Country:US
Practice Address - Phone:714-638-0018
Practice Address - Fax:714-844-4333
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice