Organization
IVY DENTAL FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOON LEE DDS (DENTIST)
(425) 275-9977
Entity
Organization
Contact information
Practice address
18623 HWY 99, SUITE 210, LYNNWOOD, WA 98037-4552
(425) 275-9977
(425) 275-9979
Mailing address
18623 HWY 99, SUITE 210, LYNNWOOD, WA 98037-4552
(425) 275-9977
(425) 275-9979
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5041611
—
WA
Enumeration date
05/03/2007
Last updated
08/22/2020
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