Organization
SHI & PAN, PLLC
Active
Other names
Emerald City Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JIAYU SHI DDS, PHD (ORTHODONTIST)
(310) 845-5276
Entity
Organization
Contact information
Practice address
12305 120TH AVE NE STE G, KIRKLAND, WA 98034-6921
(425) 588-3899
Mailing address
1321 5TH LN, KIRKLAND, WA 98033-5667
(310) 845-5276
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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