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Provider Information for 1437209970



DR. ROY TAKASHI YANASE DDS

Gender: MALE

Individual NPI: 1437209970

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1437209970
Enumeration Date 2007-01-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 22330 HAWTHORNE BLVD SUITE 316
TORRANCE, CA 90505-2536
United States

Phone: 310-378-4244 | Fax: 310-378-0164
View Map External Link
Primary Practice Address 22330 HAWTHORNE BLVD SUITE 316
TORRANCE, CA 90505-2590
United States

Phone: 310-378-4244 | Fax: 310-378-0164
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 1223P0700X - Dentist Prosthodontics CA 20606