Provider Demographics
NPI:1679199574
Name:YEN, FLORA YU HARN (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLORA
Middle Name:YU HARN
Last Name:YEN
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 1:1286 COPPER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-7000
Mailing Address - Country:US
Mailing Address - Phone:515-263-1414
Mailing Address - Fax:515-263-0807
Practice Address - Street 1:1286 COPPER CREEK DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-7000
Practice Address - Country:US
Practice Address - Phone:515-263-1414
Practice Address - Fax:515-263-0807
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-097631223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty