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NPI Code Detail

MEDICARE: HARRY YU HE DDS

MEDICARE: HARRY YU HE DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry50754CA
21223G0001XGeneral Practice DentistryDS038199PA
31223G0001XGeneral Practice DentistryG1-0001311DE

General Provider Information

NPI Number : 1679794440
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY YU HE DDS
Provider Business Mailing Address
First Line : 4040 PRESIDENTIAL BLVD
Second Line : 1909
City : PHILADELPHIA
State : PA
Zip : 19131-1727
Country : US
Telephone Number : 626-272-2883
Fax Number :
Provider Business Practice Location Address
First Line : 10108 BUSTLETON AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19116-3704
Country : US
Telephone Number : 626-272-2883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/19/2012

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