Provider Demographics
NPI:1528476108
Name:YU, RUI (DMD)
Entity type:Individual
Prefix:DR
First Name:RUI
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:YURI
Other - Middle Name:
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1135 NW GILMAN BLVD STE F5
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5345
Mailing Address - Country:US
Mailing Address - Phone:425-392-6455
Mailing Address - Fax:
Practice Address - Street 1:1135 NW GILMAN BLVD STE F5
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5345
Practice Address - Country:US
Practice Address - Phone:425-392-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE612296011223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry