Provider Demographics
NPI:1598800617
Name:ATACADOR, YASMINI CAMARADOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:YASMINI
Middle Name:CAMARADOR
Last Name:ATACADOR
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 1:2990 E COLORADO BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4444
Mailing Address - Country:US
Mailing Address - Phone:626-795-4420
Mailing Address - Fax:626-795-4498
Practice Address - Street 1:2990 E COLORADO BLVD STE 103
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4444
Practice Address - Country:US
Practice Address - Phone:626-795-4420
Practice Address - Fax:626-795-4498
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA467401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA201556OtherDENTAL OFFICE