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General NPI Number Information
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NPI Number | 1548015886
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Entity Type | Organization
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Legal Business Name | WENLI YU DDS DENTAL CORPORATION
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 12/01/2024
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Provider Practice Location Address
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Address Line | 1299 WATER LILY WAY STE 80
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City | SAN JOSE
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State | CA
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Zip | 95129-2868
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Country | US
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Telephone | 408-446-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 23 WINSLOW PL
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City | MORAGA
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State | CA
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Zip | 94556-1217
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Country | US
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Telephone | 517-402-5359
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Fax |
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | WENLI YU
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Credential | DDS
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Telephone | 408-446-9188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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