Provider Demographics
NPI:1437328119
Name:YUAN, SHERIN M (DDS)
Entity Type:Individual
Prefix:
First Name:SHERIN
Middle Name:M
Last Name:YUAN
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 1:5277 COLLEGE AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94618-1437
Mailing Address - Country:US
Mailing Address - Phone:510-653-4306
Mailing Address - Fax:510-653-8077
Practice Address - Street 1:5277 COLLEGE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1437
Practice Address - Country:US
Practice Address - Phone:510-653-4306
Practice Address - Fax:510-653-8077
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA529591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice