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Individual

JIAYU SHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS, PHD

Contact information

Practice address
12305 120TH AVE NE STE G, KIRKLAND, WA 98034-6921
(425) 588-3899
(425) 588-3898
Mailing address
12305 120TH AVE NE STE G, KIRKLAND, WA 98034-6921
(425) 588-3899

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61133313
WA

Other

Enumeration date
12/16/2020
Last updated
03/12/2024
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