Provider Demographics
NPI:1689076754
Name:LM YEUNG DDS DENTAL CORP
Entity Type:Organization
Organization Name:LM YEUNG DDS DENTAL CORP
Other - Org Name:YOUNG SMILE DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAIMUI
Authorized Official - Middle Name:
Authorized Official - Last Name:YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-808-1596
Mailing Address - Street 1:1208 BLUESTONE RIVER WAY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9258
Mailing Address - Country:US
Mailing Address - Phone:661-889-2747
Mailing Address - Fax:
Practice Address - Street 1:4124 ARDMORE AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4982
Practice Address - Country:US
Practice Address - Phone:661-889-2747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-20
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561191223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty