Individual
JENNIFER MAYUMI TAKESONO YU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 PARKER AVE, SAN FRANCISCO, CA 94118-2614
(415) 668-3500
Mailing address
1 PARKER AVE, SAN FRANCISCO, CA 94118-2614
(415) 668-3500
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
051702-01
NY
1223P0221X
Pediatric Dentistry
2034
HI
1223P0221X
Pediatric Dentistry
Primary
57786
CA
1223P0221X
Pediatric Dentistry
9145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04474562
—
CO
Enumeration date
02/05/2007
Last updated
10/13/2008
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