Provider Demographics
NPI:1306246988
Name:YONEMITSU, AMY (DDS)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:YONEMITSU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22315 CAPOTE DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93908-1006
Mailing Address - Country:US
Mailing Address - Phone:559-916-0462
Mailing Address - Fax:
Practice Address - Street 1:110 NUT TREE PKWY
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95687-3251
Practice Address - Country:US
Practice Address - Phone:707-451-8390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA639121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice