Provider Demographics
NPI:1205994225
Name:PETER YANG, DDS, INC.
Entity type:Organization
Organization Name:PETER YANG, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:THUYA-LWIN
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:831-753-6598
Mailing Address - Street 1:11 MAPLE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3249
Mailing Address - Country:US
Mailing Address - Phone:831-753-6598
Mailing Address - Fax:
Practice Address - Street 1:11 MAPLE ST
Practice Address - Street 2:SUITE E
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3249
Practice Address - Country:US
Practice Address - Phone:831-753-6598
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA501611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty