Provider Demographics
NPI:1326277336
Name:CHIANG, YU-HSUEN JESSICA (BDS DMD)
Entity Type:Individual
Prefix:
First Name:YU-HSUEN
Middle Name:JESSICA
Last Name:CHIANG
Suffix:
Gender:F
Credentials:BDS DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 DE ANZA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-3987
Mailing Address - Country:US
Mailing Address - Phone:650-898-1059
Mailing Address - Fax:
Practice Address - Street 1:118 DE ANZA BLVD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-3987
Practice Address - Country:US
Practice Address - Phone:650-898-1059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-11
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA584181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry