Yuen, Alex Wah

Yuen, Alex Wah is an individual health care provider with primary practice located at 3501 N Butler Ave Ste 103 , Farmington NM 87401-6430. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Yuen, Alex Wah can be contacted via phone (505) 564-4470.

Contact Information

Primary practice address
3501 N Butler Ave Ste 103 Farmington NM 87401-6430
Phone: (505) 564-4470
Fax: (505) 325-9707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D5306 Arizona
Dental Providers / General Practice 1223G0001X DD5425 New Mexico

Profile Details

NPI number 1104939438
LBN Legal business name Yuen, Alex Wah
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104939438 NPPES
Arizona Other 525008 AHCCCP
Arizona MEDICAID AY1518589 AHCCCP

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