Provider Demographics
NPI:1689553372
Name:MARIA LOURDES YEO DDS DENTAL CORP
Entity type:Organization
Organization Name:MARIA LOURDES YEO DDS DENTAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA LOURDES
Authorized Official - Middle Name:
Authorized Official - Last Name:YEO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-591-4704
Mailing Address - Street 1:2130 RALSTON AVE
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1664
Mailing Address - Country:US
Mailing Address - Phone:650-591-4704
Mailing Address - Fax:650-691-4531
Practice Address - Street 1:2130 RALSTON AVE
Practice Address - Street 2:SUITE 1-D
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-1664
Practice Address - Country:US
Practice Address - Phone:650-591-4704
Practice Address - Fax:650-691-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty