Provider Demographics
NPI:1073721585
Name:YAU, KWOK-PING (LICAC DMD)
Entity Type:Individual
Prefix:
First Name:KWOK-PING
Middle Name:
Last Name:YAU
Suffix:
Gender:M
Credentials:LICAC DMD
Other - Prefix:
Other - First Name:RAYMOND
Other - Middle Name:KWOK
Other - Last Name:YAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICAC DMD
Mailing Address - Street 1:2705 E INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016
Mailing Address - Country:US
Mailing Address - Phone:602-956-0941
Mailing Address - Fax:
Practice Address - Street 1:2705 E INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHX
Practice Address - State:AZ
Practice Address - Zip Code:85016
Practice Address - Country:US
Practice Address - Phone:602-956-0941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0098171100000X
CACS1597171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist