Provider Demographics
NPI:1427054618
Name:YU, LINDA (DDS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10425 FAIR OAKS BLVD
Mailing Address - Street 2:STE 103
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-7559
Mailing Address - Country:US
Mailing Address - Phone:916-966-2525
Mailing Address - Fax:916-966-9537
Practice Address - Street 1:10425 FAIR OAKS BLVD
Practice Address - Street 2:STE 103
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-7559
Practice Address - Country:US
Practice Address - Phone:916-966-2525
Practice Address - Fax:916-966-9537
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50120122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist