Provider Demographics
NPI:1265621080
Name:SHEH, EDDIE CHIH-YUAN (DDS)
Entity type:Individual
Prefix:
First Name:EDDIE
Middle Name:CHIH-YUAN
Last Name:SHEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 E 7TH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6601
Mailing Address - Country:US
Mailing Address - Phone:909-608-7494
Mailing Address - Fax:
Practice Address - Street 1:77 E 7TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-6601
Practice Address - Country:US
Practice Address - Phone:909-608-7494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392061223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics