Provider Demographics
NPI:1225030984
Name:YU, HAO (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAO
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 1:1520 N MOUNTAIN AVE
Mailing Address - Street 2:SUITE 123
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-1132
Mailing Address - Country:US
Mailing Address - Phone:909-988-9690
Mailing Address - Fax:909-988-5372
Practice Address - Street 1:1520 N MOUNTAIN AVE
Practice Address - Street 2:SUITE 123
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-1132
Practice Address - Country:US
Practice Address - Phone:909-988-9690
Practice Address - Fax:909-988-5372
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48413122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist