Jon Derek Yatsushiro, D.D.S.

NPI #1265505408 in Gresham, Oregon

Provider Information

NPI Number: 1265505408
Entity Type: Individual
Name: Jon Derek Yatsushiro, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Nov 16, 2006
Last Updated: Aug 3, 2016

Practice Location

Address: 320 NE 5TH ST
City: Gresham
State: Oregon
ZIP Code: 97030-7308
Phone: (503) 665-0495

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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