Provider Demographics
NPI:1861646333
Name:JENG, JOANNE YU-CHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOANNE YU-CHEN
Middle Name:
Last Name:JENG
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 1:380 20TH AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121
Mailing Address - Country:US
Mailing Address - Phone:415-752-4150
Mailing Address - Fax:415-752-7550
Practice Address - Street 1:380 20TH AVE
Practice Address - Street 2:STE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121
Practice Address - Country:US
Practice Address - Phone:415-752-4150
Practice Address - Fax:415-752-7550
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-11
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA528721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice