Healthcare Provider Details
I. General information
NPI: 1316184880
Provider Name (Legal Business Name): SILVIA S. HUANG-YUE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/20/2009
Last Update Date: 10/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
207 MEETINGHOUSE RD
BEDFORD NH
03110-6090
US
IV. Provider business mailing address
54 CATESBY LN
BEDFORD NH
03110-4514
US
V. Phone/Fax
- Phone: 603-625-2193
- Fax:
- Phone: 310-658-3771
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 57507 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 04449 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: