Provider Demographics
NPI:1164587192
Name:YEE, LUN SU (DDS)
Entity Type:Individual
Prefix:
First Name:LUN
Middle Name:SU
Last Name:YEE
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 1:36 SAN PEDRO RD
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94014-2528
Mailing Address - Country:US
Mailing Address - Phone:650-992-7799
Mailing Address - Fax:650-992-7795
Practice Address - Street 1:36 SAN PEDRO RD
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94014-2528
Practice Address - Country:US
Practice Address - Phone:650-992-7799
Practice Address - Fax:650-992-7795
Is Sole Proprietor?:No
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39726122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist