Provider Demographics
NPI:1659444537
Name:YUNG, NORMAN HO YIN (DMD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:HO YIN
Last Name:YUNG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 YGNACIO VALLEY ROAD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2987
Mailing Address - Country:US
Mailing Address - Phone:925-945-7977
Mailing Address - Fax:925-945-7620
Practice Address - Street 1:1479 YGNACIO VALLEY ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2987
Practice Address - Country:US
Practice Address - Phone:925-945-7977
Practice Address - Fax:925-945-7620
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40907122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist