Provider Demographics
NPI:1437433240
Name:ZHAO YU, D.D.S., PLLC
Entity Type:Organization
Organization Name:ZHAO YU, D.D.S., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR. ZHAO J. YU
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHAO
Authorized Official - Middle Name:J
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-809-8810
Mailing Address - Street 1:3420 TEN TEN ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6101
Mailing Address - Country:US
Mailing Address - Phone:919-809-8810
Mailing Address - Fax:919-809-8811
Practice Address - Street 1:3420 TEN TEN ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6101
Practice Address - Country:US
Practice Address - Phone:919-809-8810
Practice Address - Fax:919-809-8811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-29
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty