# STEPHANIE YI DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northwest dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588084289
- **Authorized official:** STEPHANIE YI DDS (SOLE MEMBER)
- **Authorized official phone:** (206) 954-0523

## Contact information

- **Practice address:** 1717 S 324TH ST, SUITE A, FEDERAL WAY, WA 98003-8500
- **Practice address phone:** (253) 815-0093
- **Mailing address:** 1717 S 324TH ST, SUITE A, FEDERAL WAY, WA 98003-8500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00011050 | WA | Yes |

## Other

- **Enumeration date:** 04/21/2014
- **Last updated:** 04/21/2014