Provider Demographics
NPI:1689686644
Name:YANG, WEN-RU RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:WEN-RU
Middle Name:RUTH
Last Name:YANG
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 1:89 S. KING ST.
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-792-5576
Mailing Address - Fax:808-845-0798
Practice Address - Street 1:89 S. KING ST.
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-792-5576
Practice Address - Fax:808-845-0798
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDT-2024122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0232124OtherBCBS
HI51863106Medicaid