Provider Demographics
NPI:1225183544
Name:YU, QUINN (DDS)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:
Last Name:YU
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 1:3380 LA SIERRA AVE
Mailing Address - Street 2:108
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92503-5271
Mailing Address - Country:US
Mailing Address - Phone:951-354-9999
Mailing Address - Fax:951-354-6666
Practice Address - Street 1:3380 LA SIERRA AVE
Practice Address - Street 2:108
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-5271
Practice Address - Country:US
Practice Address - Phone:951-354-9999
Practice Address - Fax:951-354-6666
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA486981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice