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NPI Code Detail

MEDICARE: SUNDEW DENTAL

MEDICARE: SUNDEW DENTAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1447103635
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUNDEW DENTAL
Provider Business Mailing Address
First Line : 2519 NW 91ST ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-6234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 215 NW 78TH ST # 1
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number : 360-693-2577
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TIFFANY YEE
Credential : DMD
Telephone Number : 971-270-0035
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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Directions to “SUNDEW DENTAL ” Practice Location

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