# YOON SUK LEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivy Dental Everett PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386864197
- **Authorized official:** DR. YOON SUK LEE DDS (OWNER)
- **Authorized official phone:** (425) 252-9713

## Contact information

- **Practice address:** 2722 COLBY AVE STE 508, EVERETT, WA 98201-3533
- **Practice address phone:** (425) 252-9713
- **Practice address fax:** (425) 339-6099
- **Mailing address:** 2722 COLBY AVE STE 508, EVERETT, WA 98201-3533
- **Mailing address phone:** (425) 252-9713
- **Mailing address fax:** (425) 339-6099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00009491 | WA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 07/22/2008