Individual
JACOB SUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16510 WA-9 #102, SNOHOMISH, WA 98296
(360) 863-3921
Mailing address
20932 42ND AVE SE UNIT A, BOTHELL, WA 98021-7913
(425) 753-1476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60465459
WA
Other
Enumeration date
06/29/2014
Last updated
02/06/2019
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