Provider Demographics
NPI:1538366703
Name:YI, WOON HO (DDS)
Entity type:Individual
Prefix:
First Name:WOON
Middle Name:HO
Last Name:YI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1344 S CHAMBERS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-4096
Mailing Address - Country:US
Mailing Address - Phone:303-873-7180
Mailing Address - Fax:303-873-8907
Practice Address - Street 1:1344 S CHAMBERS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-4096
Practice Address - Country:US
Practice Address - Phone:303-873-7180
Practice Address - Fax:303-873-8907
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO7980122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist