Provider Demographics
NPI:1346046612
Name:TINA H. YOO, D.D.S., M.S., INC.
Entity type:Organization
Organization Name:TINA H. YOO, D.D.S., M.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:H
Authorized Official - Last Name:YOO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-219-5745
Mailing Address - Street 1:1828 EL CAMINO REAL STE 803
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3124
Mailing Address - Country:US
Mailing Address - Phone:650-697-1711
Mailing Address - Fax:
Practice Address - Street 1:1828 EL CAMINO REAL STE 803
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3124
Practice Address - Country:US
Practice Address - Phone:650-697-1711
Practice Address - Fax:650-697-4205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty