Provider Demographics
NPI:1164735585
Name:SIA, YING WAI (DMD)
Entity Type:Individual
Prefix:
First Name:YING
Middle Name:WAI
Last Name:SIA
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 1:4295 ANDRE LAURENDEAU APT 4
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H1Y 3R6
Mailing Address - Country:CA
Mailing Address - Phone:514-569-8177
Mailing Address - Fax:
Practice Address - Street 1:4295 ANDRE LAURENDEAU APT 4
Practice Address - Street 2:
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H1Y 3R6
Practice Address - Country:CA
Practice Address - Phone:514-569-8177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-15
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program