MEDICARE: MISS JOSEPHINE CHAI HUEI YU 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
1	1223G0001X	General Practice Dentistry	55537	CA

General Provider Information

NPI Number	:	1952509762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JOSEPHINE CHAI HUEI YU DDS

Provider Business Mailing Address
First Line	:	15941 PINNACLE RD
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-2380
Country	:	US
Telephone Number	:	909-597-2317
Fax Number	:

Provider Business Practice Location Address
First Line	:	12233 CENTRAL AVE
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91710-2423
Country	:	US
Telephone Number	:	909-628-0208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	07/08/2007

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