Provider Demographics
NPI:1811227234
Name:YU, VICTORIA S (DDS)
Entity Type:Individual
Prefix:MISS
First Name:VICTORIA
Middle Name:S
Last Name:YU
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 1:11151 ROBINWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6703
Mailing Address - Country:US
Mailing Address - Phone:301-739-5551
Mailing Address - Fax:301-797-9709
Practice Address - Street 1:11151 ROBINWOOD DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6703
Practice Address - Country:US
Practice Address - Phone:301-739-5551
Practice Address - Fax:301-797-9709
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD145451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice