Provider Demographics
NPI:1093895898
Name:YU, XIN-YI (DDS)
Entity Type:Individual
Prefix:DR
First Name:XIN-YI
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 E CHURCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5263
Mailing Address - Country:US
Mailing Address - Phone:805-922-9910
Mailing Address - Fax:805-922-9919
Practice Address - Street 1:504 E CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5263
Practice Address - Country:US
Practice Address - Phone:805-922-9910
Practice Address - Fax:805-922-9919
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA435121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice