Provider Demographics
NPI:1598856320
Name:YEUNG, RAPHAEL PAKKEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:RAPHAEL
Middle Name:PAKKEE
Last Name:YEUNG
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 1:1212 E MAIN ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801
Mailing Address - Country:US
Mailing Address - Phone:626-289-3755
Mailing Address - Fax:626-289-3756
Practice Address - Street 1:1212 E MAIN ST
Practice Address - Street 2:SUITE #3
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801
Practice Address - Country:US
Practice Address - Phone:626-289-3755
Practice Address - Fax:626-289-3756
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26729122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist