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CHRYSTLE CU NPI 1922545979


NPI Information

NPI: 1922545979
Provider Name: CHRYSTLE CU

Doing Business As: YOUNG DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
126 2ND AVE
SUITE 102
SAN MATEO, CA
ZIP 94401
Phone: (650) 532-3092
Get Directions

CHRYSTLE CU is a general practice dentist in San Mateo, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHRYSTLE CU NPI is 1922545979. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Young Dental Group.

The provider's business location address is:

126 2ND AVE
SUITE 102
SAN MATEO, CA
ZIP 94401-841
Phone: (650) 532-3092
Fax: (650) 343-0528

The provider's authorized official is Chrystle C Cu .
The authorized official title is Owner and has the following contact phone number (650) 703-9378.

The enumeration date for this NPI number is 1/30/2017 and was last updated on 1/30/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice57287CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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