Provider Demographics
NPI:1407063142
Name:YANG, LUNG SHENG (DDS)
Entity type:Individual
Prefix:
First Name:LUNG
Middle Name:SHENG
Last Name:YANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:LAURENCE
Other - Middle Name:L
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:19063 COLIMA ROAD
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2922
Mailing Address - Country:US
Mailing Address - Phone:626-965-4849
Mailing Address - Fax:626-965-4849
Practice Address - Street 1:19063 COLIMA ROAD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2922
Practice Address - Country:US
Practice Address - Phone:626-965-4849
Practice Address - Fax:626-965-4849
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB31428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist