Provider Demographics
NPI:1750468146
Name:HU, YANFEI (DMD)
Entity Type:Individual
Prefix:MS
First Name:YANFEI
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4500 FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-1221
Mailing Address - Country:US
Mailing Address - Phone:407-599-7666
Mailing Address - Fax:
Practice Address - Street 1:800 W MORSE BLVD STE 3B
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-3735
Practice Address - Country:US
Practice Address - Phone:407-647-3223
Practice Address - Fax:407-647-2237
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00145911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice