Healthcare Provider Details

I. General information

NPI: 1558491597
Provider Name (Legal Business Name): RONALD YEE D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 CALIFORNIA ST STE 210
SAN FRANCISCO CA
94118-1367
US

IV. Provider business mailing address

4200 CALIFORNIA ST STE 210
SAN FRANCISCO CA
94118-1367
US

V. Phone/Fax

Practice location:
  • Phone: 415-668-0526
  • Fax: 415-668-0554
Mailing address:
  • Phone: 415-668-0526
  • Fax: 415-668-0554

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD32784
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: