Provider Demographics
NPI:1023748316
Name:ERDOGAN, YASEMIN (DDS)
Entity type:Individual
Prefix:
First Name:YASEMIN
Middle Name:
Last Name:ERDOGAN
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 1:779 E EVELYN AVE APT 310
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1559
Mailing Address - Country:US
Mailing Address - Phone:650-305-6174
Mailing Address - Fax:
Practice Address - Street 1:100 W EL CAMINO REAL STE 63A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-2649
Practice Address - Country:US
Practice Address - Phone:650-305-6174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107485122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist