Provider Demographics
NPI:1205018918
Name:YOO, ROY HYUNCHANG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:HYUNCHANG
Last Name:YOO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9242 WALKER ST STE C
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3169
Mailing Address - Country:US
Mailing Address - Phone:714-220-2003
Mailing Address - Fax:714-220-2004
Practice Address - Street 1:9242 WALKER ST STE C
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-3169
Practice Address - Country:US
Practice Address - Phone:714-220-2003
Practice Address - Fax:714-220-2004
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA533031223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics