Healthcare Provider Details
I. General information
NPI: 1699202101
Provider Name (Legal Business Name): LINDSEY R. YAP D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/15/2017
Last Update Date: 05/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
32114 1ST AVE S STE 200
FEDERAL WAY WA
98003-5760
US
IV. Provider business mailing address
34615 9TH CT SW
FEDERAL WAY WA
98023-8407
US
V. Phone/Fax
- Phone: 253-838-9333
- Fax:
- Phone: 206-383-2093
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | NA |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | NA |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: