Provider Demographics
NPI:1003167958
Name:TAO, YOU CHEN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:YOU CHEN
Middle Name:
Last Name:TAO
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:
Other - Last Name:TAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:212 SANTA CLARA WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2808
Mailing Address - Country:US
Mailing Address - Phone:650-275-2288
Mailing Address - Fax:
Practice Address - Street 1:101 S SAN MATEO DR STE 115
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3840
Practice Address - Country:US
Practice Address - Phone:650-275-2288
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA592111223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics