Healthcare Provider Details

I. General information

NPI: 1306171426
Provider Name (Legal Business Name): BIANCA YEE DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 08/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 MARCONI AVE
SACRAMENTO CA
95821-4312
US

IV. Provider business mailing address

4400 MARCONI AVE
SACRAMENTO CA
95821-4312
US

V. Phone/Fax

Practice location:
  • Phone: 916-482-7886
  • Fax:
Mailing address:
  • Phone: 916-482-7886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number55886
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: