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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
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0700X - Dentist Prosthodontics CA 20606
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location