# PHILIP K JUNG DDS PS

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

## Provider details

- **NPI number:** 1740839117
- **Authorized official:** PHILIP K JUNG DDS (PRESIDENT)
- **Authorized official phone:** (425) 746-1441

## Contact information

- **Practice address:** 35 148TH AVE SE, BELLEVUE, WA 98007-5166
- **Practice address phone:** (425) 746-1441
- **Mailing address:** 35 148TH AVE SE, BELLEVUE, WA 98007-5166
- **Mailing address phone:** (425) 746-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2019
- **Last updated:** 09/09/2019
