Healthcare Provider Details

I. General information

NPI: 1932375441
Provider Name (Legal Business Name): CYNTHIA YEE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 CALIFORNIA ST SUITE 200
SAN FRANCISCO CA
94109-4586
US

IV. Provider business mailing address

1911 41ST AVE
SAN FRANCISCO CA
94116-1102
US

V. Phone/Fax

Practice location:
  • Phone: 415-441-7766
  • Fax: 415-441-1919
Mailing address:
  • Phone: 415-731-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number53048
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: