MEDICARE: DR. SCOTT YOO 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	35663	CA

General Provider Information

NPI Number	:	1982701074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT YOO DDS

Provider Business Mailing Address
First Line	:	1426 FILLMORE ST
Second Line	:	SUITE 215
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-5236
Country	:	US
Telephone Number	:	415-921-8867
Fax Number	:	415-921-8868

Provider Business Practice Location Address
First Line	:	1426 FILLMORE ST
Second Line	:	SUITE 215
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-5236
Country	:	US
Telephone Number	:	415-921-8867
Fax Number	:	415-921-8868

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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