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NPI Code Detail

MEDICARE: PETRUS SHIULUN YEUNG DMD PC

MEDICARE: PETRUS SHIULUN YEUNG DMD PC
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 Dentistry24866TX

General Provider Information

NPI Number : 1932558954
Entity Type Code : Organization
Provider Name (Legal Business Name) : PETRUS SHIULUN YEUNG DMD PC
Provider Business Mailing Address
First Line : 2528 SUNSET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1434
Country : US
Telephone Number : 713-529-5656
Fax Number :
Provider Business Practice Location Address
First Line : 2528 SUNSET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77005-1434
Country : US
Telephone Number : 713-529-5656
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : PETRUS SHIULUN YEUNG
Credential :
Telephone Number : 713-529-5656
Provider Enumeration Date : 06/09/2016
Last Update Date : 06/09/2016

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Directions to “PETRUS SHIULUN YEUNG DMD PC ” Practice Location

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