Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 39206 | CA |
NPI | 1265621080 |
---|---|
Provider Name | Eddie Chih-Yuan Sheh |
First Address | Upland, CA 91786-6601 |
Second Address | Upland, CA 91786-6601 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2007 |
Last Update Date | 17/10/2007 |