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General NPI Number Information
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NPI Number | 1861284226
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Entity Type | Individual
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Provider Name | IRIS YU DDS
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 635 ALBANY ST
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City | BOSTON
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State | MA
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Zip | 02118-3550
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Country | US
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Telephone | 617-358-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 451 JULLIARD DR
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City | CLAREMONT
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State | CA
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Zip | 91711-1927
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Country | US
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Telephone | 909-267-0678
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DL100498
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License Number State | MA
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