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General NPI Number Information
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NPI Number | 1003030404
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Entity Type | Organization
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Legal Business Name | QUINN YU DDS INC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 3380 LA SIERRA AVE SUITE 108,109,110
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-354-9999
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Fax | 951-354-6666
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Provider Business Mailing Address
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Address Line | 3380 LA SIERRA AVE SUITE 108,109,110
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City | RIVERSIDE
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State | CA
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Zip | 92503
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Country | US
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Telephone | 951-354-9999
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Fax | 951-354-6666
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Authorized Official
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Title or Position | OWNER
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Name | QUINN YU
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Credential |
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Telephone | 951-354-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 48698
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License Number State | CA
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