Igor B. Yudin in Berkeley - General Practice

Igor B. Yudin - NPI 1508079617

Igor B. Yudin is a General Practice in Berkeley, California. Igor B. Yudin practices all healthcare services and medical treatments related to General Practice. The NPI Number for Igor B. Yudin is 1508079617. The last update date is 2007-07-08.

Igor B. Yudin's current location address is 2320 Woolsey St Ste 203, Berkeley, California. You can contact this provider via phone number 5105408300. The mailing address for Igor B. Yudin is 2320 Woolsey St Ste 203, Berkeley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Igor B. Yudin
Address 2320 Woolsey St Ste 203, Berkeley, California
Phone Number 5105408300
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1508079617
Provider Enumeration Date 2007-05-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2320 Woolsey St Ste 203
City Berkeley
State California (CA)
Post Code 947051975
Phone Number 5105408300
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 42258
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B42258 CA DENTI-CAL PROVIDER NUMBER

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FAQs about Igor B. Yudin

What is the Igor B. Yudin's unique identification number?

The Igor B. Yudin has been assigned the NPI (National Provider Identifier) Number 1508079617 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Where is the Igor B. Yudin located?

The Igor B. Yudin is located at 2320 Woolsey St Ste 203, Berkeley, CA 947051975.

What is Igor B. Yudin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Igor B. Yudin is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Igor B. Yudin receive the assignment of its 1508079617 from the Centers for Medicare & Medicaid Services?

The Igor B. Yudin was issued its 1508079617 by the Centers for Medicare & Medicaid Services on 2007-05-07.

As of what date were the details pertaining to Igor B. Yudin last refreshed?

The information related to the Igor B. Yudin, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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