MEDICARE: SHERIN M. YUAN D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	52959	CA

General Provider Information

NPI Number	:	1437328119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIN M. YUAN D.D.S.

Provider Business Mailing Address
First Line	:	5277 COLLEGE AVE
Second Line	:	SUITE 103
City	:	OAKLAND
State	:	CA
Zip	:	94618-1437
Country	:	US
Telephone Number	:	510-653-4306
Fax Number	:	510-653-8077

Provider Business Practice Location Address
First Line	:	5277 COLLEGE AVE
Second Line	:	SUITE 103
City	:	OAKLAND
State	:	CA
Zip	:	94618-1437
Country	:	US
Telephone Number	:	510-653-4306
Fax Number	:	510-653-8077

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2008
Last Update Date	:	02/26/2008

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