Provider Demographics
NPI:1083367650
Name:CHEN, YU WEI JUDY (DMD)
Entity Type:Individual
Prefix:
First Name:YU WEI JUDY
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3967 RIVERMARK PLZ
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-4156
Mailing Address - Country:US
Mailing Address - Phone:408-988-1588
Mailing Address - Fax:
Practice Address - Street 1:3967 RIVERMARK PLZ
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-4156
Practice Address - Country:US
Practice Address - Phone:408-988-1588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA478611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice