# KAE DENTAL

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

## Provider details

- **NPI number:** 1336695469
- **Authorized official:** JOON W KAE DMD (DENTIST/OWNER)
- **Authorized official phone:** (206) 708-1845

## Contact information

- **Practice address:** 4116 CALIFORNIA AVE SW APT 101, SEATTLE, WA 98116-4151
- **Practice address phone:** (206) 708-1845
- **Practice address fax:** (206) 913-2516
- **Mailing address:** 4116 CALIFORNIA AVE SW APT 101, SEATTLE, WA 98116-4151
- **Mailing address phone:** (206) 708-1845
- **Mailing address fax:** (206) 913-2516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 9075 | WA | Yes |

## Other

- **Enumeration date:** 08/29/2016
- **Last updated:** 08/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1811064884 | NPI TYPE 1 | — |