Healthcare Provider Details

I. General information

NPI: 1164378394
Provider Name (Legal Business Name): YAO DDS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 S EL CAMINO REAL
SAN MATEO CA
94402-2311
US

IV. Provider business mailing address

901 S EL CAMINO REAL
SAN MATEO CA
94402-2311
US

V. Phone/Fax

Practice location:
  • Phone: 650-375-1175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YUJIA YAO
Title or Position: CEO
Credential: DDS
Phone: 412-294-6406