Healthcare Provider Details

I. General information

NPI: 1629158118
Provider Name (Legal Business Name): SENG TEK YEA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12733 LAKE CITY WAY NE SUITE 201
SEATTLE WA
98125-4490
US

IV. Provider business mailing address

12733 LAKE CITY WAY NE SUITE 201
SEATTLE WA
98125-4490
US

V. Phone/Fax

Practice location:
  • Phone: 206-365-2244
  • Fax: 206-365-2256
Mailing address:
  • Phone: 206-365-2244
  • Fax: 206-365-2256

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE9372
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: