Provider Demographics
NPI:1831344324
Name:YEE, DENNIS (GENERAL DENTIST)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:YEE
Suffix:
Gender:M
Credentials:GENERAL DENTIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 WESTWOOD BLVD # 252
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-2905
Mailing Address - Country:US
Mailing Address - Phone:800-373-5400
Mailing Address - Fax:888-492-2900
Practice Address - Street 1:6035 BRISTOL PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6653
Practice Address - Country:US
Practice Address - Phone:800-373-5400
Practice Address - Fax:888-492-2900
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27220122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA27220Medicaid