Provider Demographics
NPI:1750303046
Name:YOSHIDA, COLIN T (DDS)
Entity Type:Individual
Prefix:DR
First Name:COLIN
Middle Name:T
Last Name:YOSHIDA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3885 BEACON AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-1462
Mailing Address - Country:US
Mailing Address - Phone:510-745-1800
Mailing Address - Fax:510-797-2437
Practice Address - Street 1:3885 BEACON AVE
Practice Address - Street 2:SUITE C
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-1462
Practice Address - Country:US
Practice Address - Phone:510-745-1800
Practice Address - Fax:510-797-2437
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA386311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice