Provider Demographics
NPI:1316020084
Name:SANG C YU DMD
Entity Type:Organization
Organization Name:SANG C YU DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SANG
Authorized Official - Middle Name:CHIN
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:702-862-8550
Mailing Address - Street 1:1500 E DESERT INN RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-2550
Mailing Address - Country:US
Mailing Address - Phone:702-862-8550
Mailing Address - Fax:702-892-8431
Practice Address - Street 1:1500 E DESERT INN RD
Practice Address - Street 2:SUITE 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-2550
Practice Address - Country:US
Practice Address - Phone:702-862-8550
Practice Address - Fax:702-892-8431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3523122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty