Provider Demographics
NPI:1124566690
Name:HSU, YU-YI GRACE (DMD)
Entity Type:Individual
Prefix:DR
First Name:YU-YI
Middle Name:GRACE
Last Name:HSU
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 1:340 FREMONT ST
Mailing Address - Street 2:#1702
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-2558
Mailing Address - Country:US
Mailing Address - Phone:610-864-7586
Mailing Address - Fax:
Practice Address - Street 1:340 FREMONT ST
Practice Address - Street 2:#1702
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-2558
Practice Address - Country:US
Practice Address - Phone:610-864-7586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS100883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist