Provider Demographics
NPI:1629283346
Name:DR. YEUM DENTAL CORPORATION
Entity type:Organization
Organization Name:DR. YEUM DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:KYOUNG
Authorized Official - Last Name:YEUM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-776-3368
Mailing Address - Street 1:7950 FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3855
Mailing Address - Country:US
Mailing Address - Phone:562-776-3368
Mailing Address - Fax:562-776-0198
Practice Address - Street 1:7950 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-3855
Practice Address - Country:US
Practice Address - Phone:562-776-3368
Practice Address - Fax:562-776-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA452171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty