Provider Demographics
NPI:1538346507
Name:JAIN, YUKARI (DDS)
Entity type:Individual
Prefix:
First Name:YUKARI
Middle Name:
Last Name:JAIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YUKARI
Other - Middle Name:
Other - Last Name:TAKAHASHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:860 E REMINGTON DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2995
Mailing Address - Country:US
Mailing Address - Phone:408-481-0555
Mailing Address - Fax:408-481-0551
Practice Address - Street 1:860 E REMINGTON DR
Practice Address - Street 2:SUITE D
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-2995
Practice Address - Country:US
Practice Address - Phone:408-481-0555
Practice Address - Fax:408-481-0551
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44097122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist