Individual
YEN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
717 GEARY ST SE STE 102, ALBANY, OR 97321-4822
(541) 924-1086
Mailing address
7812 53RD AVE W, LAKEWOOD, WA 98499-8667
(253) 306-9926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D12003
OR
122300000X
Dentist
DE60867888
WA
1223G0001X
General Practice Dentistry
Primary
D12003
OR
1223G0001X
General Practice Dentistry
DE60867888
WA
Other
Enumeration date
08/01/2018
Last updated
09/27/2024
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