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General NPI Number Information
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NPI Number | 1568095479
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Entity Type | Organization
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Legal Business Name | QUINN YU DDS CORP
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 13850 CITY CENTER DR STE 5000
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City | CHINO HILLS
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State | CA
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Zip | 91709-5415
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Country | US
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Telephone | 909-525-2525
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Fax | 909-369-7139
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Provider Business Mailing Address
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Address Line | 13850 CITY CENTER DR STE 5000
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City | CHINO HILLS
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State | CA
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Zip | 91709-5415
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Country | US
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Telephone | 909-525-2525
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Fax | 909-369-7139
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Authorized Official
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Title or Position | OWNER/DDS
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Name | QUINN YU
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Credential | DDS
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Telephone | 310-918-9828
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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 |
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License Number State |
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Taxonomy #2
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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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