Provider Demographics
NPI:1013971555
Name:YEN, KIRK KWAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:KWAN
Last Name:YEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:1660 WILLOW ST
Mailing Address - Street 2:5
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95125-5101
Mailing Address - Country:US
Mailing Address - Phone:408-265-7530
Mailing Address - Fax:408-265-7532
Practice Address - Street 1:1660 WILLOW ST
Practice Address - Street 2:5
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-5101
Practice Address - Country:US
Practice Address - Phone:408-265-7530
Practice Address - Fax:408-265-7532
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA0282651223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery