Provider Demographics
NPI:1578687083
Name:HUNG, WILLIAM YUEN-SIANG (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:YUEN-SIANG
Last Name:HUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:YUEN-SIANG
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1268 W FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-3636
Mailing Address - Country:US
Mailing Address - Phone:909-981-4111
Mailing Address - Fax:909-981-3461
Practice Address - Street 1:1268 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3636
Practice Address - Country:US
Practice Address - Phone:909-981-4111
Practice Address - Fax:909-981-3461
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA348551223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics