Provider Demographics
NPI:1922634591
Name:ASY DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:ASY DENTAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:562-929-3083
Mailing Address - Street 1:1704 W 169TH PLACE
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-5306
Mailing Address - Country:US
Mailing Address - Phone:562-929-3083
Mailing Address - Fax:844-598-1171
Practice Address - Street 1:11033 ROSECRANS AVE #D
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3663
Practice Address - Country:US
Practice Address - Phone:562-929-3083
Practice Address - Fax:844-598-1171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-16
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty