Provider Demographics
NPI:1588854046
Name:YU, CLAUDIA O (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:O
Last Name:YU
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 1:3630 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-1328
Mailing Address - Country:US
Mailing Address - Phone:510-530-3317
Mailing Address - Fax:510-530-3370
Practice Address - Street 1:3630 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-1328
Practice Address - Country:US
Practice Address - Phone:510-530-3317
Practice Address - Fax:510-530-3370
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice