Provider Demographics
NPI:1568095479
Name:QUINN YU DDS CORP
Entity Type:Organization
Organization Name:QUINN YU DDS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:
Authorized Official - First Name:QUINN
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-918-9828
Mailing Address - Street 1:13850 CITY CENTER DR STE 5000
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-5415
Mailing Address - Country:US
Mailing Address - Phone:909-525-2525
Mailing Address - Fax:909-369-7139
Practice Address - Street 1:13850 CITY CENTER DR STE 5000
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-5415
Practice Address - Country:US
Practice Address - Phone:909-525-2525
Practice Address - Fax:909-369-7139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-19
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty