Provider Demographics
NPI:1255984803
Name:YAO, PARNELL JOANNE UY (DDS)
Entity type:Individual
Prefix:DR
First Name:PARNELL JOANNE
Middle Name:UY
Last Name:YAO
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 1:17871 SHADY VIEW DR UNIT 1407
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3987
Mailing Address - Country:US
Mailing Address - Phone:909-529-3042
Mailing Address - Fax:
Practice Address - Street 1:740 S INDIAN HILL BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:CA
Practice Address - Zip Code:91711-5400
Practice Address - Country:US
Practice Address - Phone:909-625-1446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1040171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice