Organization
HOPE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYUNGSIK MOON DMD (DENTIST)
(216) 762-6289
Entity
Organization
Contact information
Practice address
4713 168TH ST SW UNIT 102, LYNNWOOD, WA 98037-6813
(425) 954-8899
Mailing address
15515 JUANITA WOODINVILLE WAY NE UNIT K203, BOTHELL, WA 98011-6104
(216) 762-6289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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