# ENDO NW BELLEVUE

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

## Provider details

- **NPI number:** 1790009207
- **Authorized official:** DR. KEVIN Y CHOI D.M.D. (OWNER)
- **Authorized official phone:** (425) 454-4582

## Contact information

- **Practice address:** 1545 116TH AVE NE, SUITE 102, BELLEVUE, WA 98004-3813
- **Practice address phone:** (425) 454-4582
- **Practice address fax:** (425) 646-9430
- **Mailing address:** 1545 116TH AVE NE, SUITE 102, BELLEVUE, WA 98004-3813
- **Mailing address phone:** (425) 454-4582
- **Mailing address fax:** (425) 646-9430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 4517 | WA | — |
| 1223E0200X | Endodontics | 7999 | WA | Yes |

## Other

- **Enumeration date:** 03/26/2010
- **Last updated:** 03/26/2010