Provider Demographics
NPI:1245671734
Name:SING, YENBA TO BUI (DMD)
Entity type:Individual
Prefix:DR
First Name:YENBA
Middle Name:TO BUI
Last Name:SING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:YENBA
Other - Middle Name:T
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:465 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2413
Mailing Address - Country:US
Mailing Address - Phone:650-508-0903
Mailing Address - Fax:
Practice Address - Street 1:465 LAUREL ST
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2413
Practice Address - Country:US
Practice Address - Phone:650-508-0903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD98811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice