Provider Demographics
NPI:1205914421
Name:YEN, MARIACRISTINA SYLVIA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIACRISTINA SYLVIA
Middle Name:
Last Name:YEN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:MRS
Other - First Name:MARIACRISTINASYLVIA
Other - Middle Name:
Other - Last Name:SUAVERDEZ-YEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5009 HONEYGO CENTER DR STE 228
Mailing Address - Street 2:
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9842
Mailing Address - Country:US
Mailing Address - Phone:410-248-3384
Mailing Address - Fax:
Practice Address - Street 1:5009 HONEYGO CENTER DR STE 228
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9842
Practice Address - Country:US
Practice Address - Phone:410-248-3384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD142511223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry