Provider Demographics
NPI:1942676382
Name:YEH, ARIANNA DAMIAN (DDS)
Entity Type:Individual
Prefix:
First Name:ARIANNA
Middle Name:DAMIAN
Last Name:YEH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ARIANNA
Other - Middle Name:
Other - Last Name:DAMIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:164 N OAK KNOLL AVE
Mailing Address - Street 2:APT 7
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1846
Mailing Address - Country:US
Mailing Address - Phone:949-690-0682
Mailing Address - Fax:
Practice Address - Street 1:164 N OAK KNOLL AVE
Practice Address - Street 2:APT 7
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1846
Practice Address - Country:US
Practice Address - Phone:949-690-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-20
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64648122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist