Organization
KAE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOON W KAE DMD (DENTIST/OWNER)
(206) 708-1845
Entity
Organization
Contact information
Practice address
4116 CALIFORNIA AVE SW APT 101, SEATTLE, WA 98116-4151
(206) 708-1845
(206) 913-2516
Mailing address
4116 CALIFORNIA AVE SW APT 101, SEATTLE, WA 98116-4151
(206) 708-1845
(206) 913-2516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9075
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811064884
NPI TYPE 1
—
Enumeration date
08/29/2016
Last updated
08/29/2016
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