Healthcare Provider Details

I. General information

NPI: 1760657274
Provider Name (Legal Business Name): YEUNG & LEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2008
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12845 NE 85TH STREET
KIRKLAND WA
98033-8009
US

IV. Provider business mailing address

12845 NE 85TH ST
KIRKLAND WA
98033-8009
US

V. Phone/Fax

Practice location:
  • Phone: 425-828-9721
  • Fax: 425-828-9730
Mailing address:
  • Phone: 425-828-9721
  • Fax: 425-828-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License NumberDE9056
License Number StateWA

VIII. Authorized Official

Name: DR. DANLU LEE
Title or Position: CO-OWNER
Credential: DDS
Phone: 425-828-9721