Basic Information
| Provider Information | |||||||||
| NPI: | 1003004888 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YUEN | ||||||||
| FirstName: | NORMA | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 122223 | ||||||||
| Address2: | |||||||||
| City: | CHULA VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 919126923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6194544342 | ||||||||
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| Practice Location | |||||||||
| Address1: | DEFENSORES DE BAJA CALIFORNIA #702 | ||||||||
| Address2: | COLONIA RUIZ CORTINEZ | ||||||||
| City: | TIJUANA | ||||||||
| State: | BAJA CALIFORNIA | ||||||||
| PostalCode: | 22350 | ||||||||
| CountryCode: | MX | ||||||||
| TelephoneNumber: | 526646825234 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2007 | ||||||||
| LastUpdateDate: | 02/03/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 936451 | CA | N | Dental Providers | Dentist | 1223E0200X | 936451 | CA | N | Dental Providers | Dentist | Endodontics | 1223G0001X | 936451 | CA | Y | Dental Providers | Dentist | General Practice | 1223P0106X | 936451 | CA | N | Dental Providers | Dentist | Oral and Maxillofacial Pathology | 1223P0221X | 936451 | CA | N | Dental Providers | Dentist | Pediatric Dentistry | 1223P0300X | 936451 | CA | N | Dental Providers | Dentist | Periodontics | 1223P0700X | 936451 | CA | N | Dental Providers | Dentist | Prosthodontics | 1223S0112X | 936451 | CA | N | Dental Providers | Dentist | Oral and Maxillofacial Surgery | 1223X0008X | 936451 | CA | N | Dental Providers | Dentist | Oral and Maxillofacial Radiology | 1223X0400X | 936451 | CA | N | Dental Providers | Dentist | Orthodontics and Dentofacial Orthopedics | 122400000X | 936451 | CA | N | Dental Providers | Denturist |
No ID Information.