Provider Demographics
NPI:1679629950
Name:YU, YA-LI EMILY (DMD, MSD)
Entity Type:Individual
Prefix:DR
First Name:YA-LI
Middle Name:EMILY
Last Name:YU
Suffix:
Gender:F
Credentials:DMD, MSD
Other - Prefix:DR
Other - First Name:Y.
Other - Middle Name:EMILY
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5 WILLS WAY
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3770
Mailing Address - Country:US
Mailing Address - Phone:732-465-0600
Mailing Address - Fax:732-465-0602
Practice Address - Street 1:5 WILLS WAY
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3770
Practice Address - Country:US
Practice Address - Phone:732-465-0600
Practice Address - Fax:732-465-0602
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI 176691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics