Provider Demographics
NPI:1992712657
Name:YU, PETER K (DDS)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:K
Last Name:YU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 MONTAGUE EXPY
Mailing Address - Street 2:#220
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6818
Mailing Address - Country:US
Mailing Address - Phone:408-942-9999
Mailing Address - Fax:408-934-9487
Practice Address - Street 1:995 MONTAGUE EXPY
Practice Address - Street 2:#220
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6818
Practice Address - Country:US
Practice Address - Phone:408-942-9999
Practice Address - Fax:408-934-9487
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31550122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist