Provider Demographics
NPI:1780644724
Name:YU, STEPHEN Y (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:Y
Last Name:YU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17815 VENTURA BLVD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3610
Mailing Address - Country:US
Mailing Address - Phone:818-708-4909
Mailing Address - Fax:818-708-4919
Practice Address - Street 1:17815 VENTURA BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3610
Practice Address - Country:US
Practice Address - Phone:818-708-4909
Practice Address - Fax:818-708-4919
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-24
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA311441223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics