Provider Demographics
NPI:1821285511
Name:BENJAMIN Y PI, DDS, INC.
Entity Type:Organization
Organization Name:BENJAMIN Y PI, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-535-2888
Mailing Address - Street 1:439 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1229
Mailing Address - Country:US
Mailing Address - Phone:714-535-2888
Mailing Address - Fax:714-535-2022
Practice Address - Street 1:439 S EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-1229
Practice Address - Country:US
Practice Address - Phone:714-535-2888
Practice Address - Fax:714-535-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28792261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental