Organization
WASHINGTONORALMAXILLOFACIALSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE Y HONG DDS (OWNER)
(425) 356-3000
Entity
Organization
Contact information
Practice address
5929 EVERGREEN WAY, 300, EVERETT, WA 98203-6031
(425) 356-3000
(452) 535-6316
Mailing address
5929 EVERGREEN WAY, 300, EVERETT, WA 98203-6031
(425) 356-3000
(452) 535-6316
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE8227
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5044888
—
WA
Enumeration date
06/02/2010
Last updated
06/02/2010
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