Provider Demographics
NPI:1689162240
Name:ZAY YA KYAW DDS, INC.
Entity Type:Organization
Organization Name:ZAY YA KYAW DDS, INC.
Other - Org Name:K-CARE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAY YA
Authorized Official - Middle Name:
Authorized Official - Last Name:KYAW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-446-2897
Mailing Address - Street 1:613 S 3RD AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-6136
Mailing Address - Country:US
Mailing Address - Phone:626-446-2897
Mailing Address - Fax:
Practice Address - Street 1:13757 AMAR RD STE A
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91746-1692
Practice Address - Country:US
Practice Address - Phone:626-337-0230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-28
Last Update Date:2018-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA499181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty