Provider Demographics
NPI:1780217141
Name:YOO CARE DENTAL PLLC
Entity Type:Organization
Organization Name:YOO CARE DENTAL PLLC
Other - Org Name:ELYSON FAMILY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:512-608-7077
Mailing Address - Street 1:17322 LEGEND BROOK CT
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1065
Mailing Address - Country:US
Mailing Address - Phone:512-608-7077
Mailing Address - Fax:
Practice Address - Street 1:23015 FM 529 SUITE 400
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-7749
Practice Address - Country:US
Practice Address - Phone:832-786-1146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty