Individual
DR. ALEX WAH YUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3501 N BUTLER AVE STE 103, FARMINGTON, NM 87401-6430
(505) 564-4470
(505) 325-9707
Mailing address
3501 N BUTLER AVE STE 103, FARMINGTON, NM 87401-6430
(505) 564-4470
(505) 325-9707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D5306
AZ
1223G0001X
General Practice Dentistry
Primary
DD5425
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
525008
AHCCCP
AZ
05
—
AY1518589
—
AZ
Enumeration date
08/17/2006
Last updated
02/22/2023
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