Provider Demographics
NPI:1225077761
Name:AU-YEUNG, JOANNIE CHU (DMD)
Entity Type:Individual
Prefix:
First Name:JOANNIE
Middle Name:CHU
Last Name:AU-YEUNG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JOANNIE
Other - Middle Name:
Other - Last Name:CHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:6415 E. LAKE SAMMAMISH PKWY SE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029
Mailing Address - Country:US
Mailing Address - Phone:425-392-4222
Mailing Address - Fax:425-391-3655
Practice Address - Street 1:6415 E. LAKE SAMMAMISH PKWY SE
Practice Address - Street 2:SUITE 100
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029
Practice Address - Country:US
Practice Address - Phone:425-392-4222
Practice Address - Fax:425-391-3655
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA525941223G0001X
WADE604774211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice