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General NPI Number Information
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NPI Number | 1205795945
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Entity Type | Organization
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Legal Business Name | DOCTOR YU DENTAL CORPORATION
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 805 AEROVISTA PL STE 106
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7921
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Country | US
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Telephone | 805-544-7804
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Fax |
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Provider Business Mailing Address
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Address Line | 805 AEROVISTA PL STE 106
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7921
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Country | US
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Telephone | 805-544-7804
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Fax |
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Authorized Official
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Title or Position | DDS
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Name | DR. JERRY YU
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Credential |
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Telephone | 805-598-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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