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Provider Information for 1386772614



DR. SAMUEL HANDACK YEE DDS

Gender: MALE

Individual NPI: 1386772614

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1386772614
Enumeration Date 2007-02-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 15 MAREBLU 300
ALISO VIEJO, CA 92656
United States

Phone: 949-831-3111 | Fax: 949-360-0368
View Map External Link
Primary Practice Address 15 MAREBLU STE 300
ALISO VIEJO, CA 92656-3047
United States

Phone: 949-831-3111 | Fax: 949-360-0368
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist CA 26944