Provider Demographics
NPI:1558785949
Name:YIP, DEBORAH HUI-EN CHAU (DDS)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:HUI-EN CHAU
Last Name:YIP
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:HUI-EN
Other - Last Name:CHAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1202 SIOUX CT
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-6587
Mailing Address - Country:US
Mailing Address - Phone:510-209-8229
Mailing Address - Fax:
Practice Address - Street 1:390 LAUREL ST STE 310
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1953
Practice Address - Country:US
Practice Address - Phone:415-563-4261
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2024-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA648991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice