# KOUTSOUMBAS & LINTAKOON DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174975338
- **Authorized official:** JOHN HUNG LINTAKOON DDS (MEMBER)
- **Authorized official phone:** (512) 680-5571

## Contact information

- **Practice address:** 4055 21ST AVE W STE 101, SEATTLE, WA 98199-1247
- **Practice address phone:** (206) 285-1338
- **Mailing address:** 4055 21ST AVE W STE 101, SEATTLE, WA 98199-1247
- **Mailing address phone:** (206) 285-1338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60229140 | WA | Yes |

## Other

- **Enumeration date:** 07/12/2016
- **Last updated:** 07/12/2016