Provider Demographics
NPI:1659589745
Name:YAMATE, CAROLANN YURIKO (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLANN
Middle Name:YURIKO
Last Name:YAMATE
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 1:1201 N ROSE DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3939
Mailing Address - Country:US
Mailing Address - Phone:714-528-1960
Mailing Address - Fax:714-528-9474
Practice Address - Street 1:1201 N ROSE DR
Practice Address - Street 2:SUITE 203
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3939
Practice Address - Country:US
Practice Address - Phone:714-528-1960
Practice Address - Fax:714-528-9474
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA274011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice