Individual
DR. MICHELLE S YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
419 E YOUNG ST, ELMA, WA 98541-9293
(360) 861-8318
Mailing address
5916 CLOVERDALE BLVD, OAKLAND GARDENS, NY 11364-2451
(718) 570-7871
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI03010800
NJ
1223G0001X
General Practice Dentistry
Primary
61515607
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
06/21/2024
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