Provider Demographics
NPI:1083771604
Name:UYEDA, LINDA (DDS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:UYEDA
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 1:137 W. 1ST. STREET
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780
Mailing Address - Country:US
Mailing Address - Phone:714-730-9900
Mailing Address - Fax:714-730-8181
Practice Address - Street 1:137 W. 1ST. STREET
Practice Address - Street 2:SUITE B-2
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780
Practice Address - Country:US
Practice Address - Phone:714-730-9900
Practice Address - Fax:714-730-8181
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403201223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery