Jan Yamashiro D.d.s., M.s.d., Professional LLC

NPI #1992071898 in Boulder, Colorado

Provider Information

NPI Number: 1992071898
Entity Type: Organization
Organization Name: Jan Yamashiro D.d.s., M.s.d., Professional LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Mar 26, 2012
Last Updated: Feb 12, 2015

Practice Location

Address: 1717 FOLSOM ST
City: Boulder
State: Colorado
ZIP Code: 80302-6718
Phone: (303) 443-3774

Authorized Official

Name: DR. JAN YAMASHIRO, DDS, MSD
Title: MEMBER
Phone: (303) 443-3774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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