Healthcare Provider Details

I. General information

NPI: 1982260907
Provider Name (Legal Business Name): BIANCA YAU DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2019
Last Update Date: 10/28/2020
Certification Date: 10/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 VAN NESS AVE
FRESNO CA
93721-1714
US

IV. Provider business mailing address

1326 VAN NESS AVE
FRESNO CA
93721-1714
US

V. Phone/Fax

Practice location:
  • Phone: 559-441-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDDS104993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: