Provider Demographics
NPI:1629159454
Name:YEH, YULING IRENE (DMD MSCD)
Entity Type:Individual
Prefix:DR
First Name:YULING
Middle Name:IRENE
Last Name:YEH
Suffix:
Gender:F
Credentials:DMD MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2150 APPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:PINOLE
Mailing Address - State:CA
Mailing Address - Zip Code:94564-2583
Mailing Address - Country:US
Mailing Address - Phone:510-964-0215
Mailing Address - Fax:510-964-0251
Practice Address - Street 1:2150 APPIAN WAY
Practice Address - Street 2:
Practice Address - City:PINOLE
Practice Address - State:CA
Practice Address - Zip Code:94564-2583
Practice Address - Country:US
Practice Address - Phone:510-964-0215
Practice Address - Fax:510-964-0251
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA397291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics