Individual
YIRAE ORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1260 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004-3800
(425) 200-5890
(425) 589-0560
Mailing address
1260 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004-3800
(425) 200-5890
(425) 589-0560
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
ME132729
FL
Other
Enumeration date
05/23/2012
Last updated
08/12/2019
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