Individual provider · Type 1 NPI
Chong Pei Nikki Pung-Yamato, DDS
Pediatric Dentistry · Emeryville, CA
NPI number
1255625554
Active
Practice location
6399 Christie Ave, #338
Emeryville, CA 94608-1382
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry | 1223P0221X | 055558-1 (NY) |
| Pediatric Dentistry Primary | 1223P0221X | 60977 (CA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1255625554
Chong Pei Nikki Pung-Yamato, DDS's National Provider Identifier is 1255625554, issued on Jun 3, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Emeryville, CA. The record was last updated on Oct 11, 2012.