Provider Demographics
NPI:1821203241
Name:LANDIG, YOLANDA HERRERO (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:HERRERO
Last Name:LANDIG
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 1:8340 VAN NUYS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3608
Mailing Address - Country:US
Mailing Address - Phone:818-920-3959
Mailing Address - Fax:818-920-5175
Practice Address - Street 1:8340 VAN NUYS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-3608
Practice Address - Country:US
Practice Address - Phone:818-920-3959
Practice Address - Fax:818-920-5175
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39435122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist