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Individual

DR. JU YON SOPHIE YI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, DDS

Contact information

Practice address
450 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027-2483
(425) 961-9600
(425) 961-9601
Mailing address
450 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027-2483
(425) 961-9600
(425) 961-9601

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE60286345
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DENT.DE.60286345
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD.MD.60287405
WA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
MD60287405
WA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD.MD.60287405
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2033733
WA
Enumeration date
05/24/2007
Last updated
03/27/2026
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