Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | DE00008398 | WA |
NPI | 1194857227 |
---|---|
Provider Name | Yu Michael Yeh |
First Address | Federal Way, WA 98003-8505 |
Second Address | Federal Way, WA 98003-8505 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 08/07/2007 |