Provider Demographics
NPI:1831219575
Name:YAP, ANDREW W (DDS)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:W
Last Name:YAP
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8081 STANTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3238
Mailing Address - Country:US
Mailing Address - Phone:714-828-6684
Mailing Address - Fax:714-821-4409
Practice Address - Street 1:8081 STANTON AVE STE 100
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3238
Practice Address - Country:US
Practice Address - Phone:714-828-6684
Practice Address - Fax:714-821-4409
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice