Provider Demographics
NPI:1720374887
Name:YANG, HUI (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUI
Middle Name:
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 1:623 W DUARTE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7346
Mailing Address - Country:US
Mailing Address - Phone:626-446-3101
Mailing Address - Fax:626-447-8171
Practice Address - Street 1:623 W DUARTE RD STE 3
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7346
Practice Address - Country:US
Practice Address - Phone:626-446-3101
Practice Address - Fax:626-447-8171
Is Sole Proprietor?:No
Enumeration Date:2011-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401413252122300000X
CA1007971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0401413252OtherVA DENTAL LICENSE 0401413252