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General NPI Number Information
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NPI Number | 1447103635
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Entity Type | Organization
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Legal Business Name | SUNDEW DENTAL
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 215 NW 78TH ST # 1
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City | VANCOUVER
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State | WA
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Zip | 98665-7972
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Country | US
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Telephone | 360-693-2577
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Fax |
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Provider Business Mailing Address
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Address Line | 2519 NW 91ST ST
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City | VANCOUVER
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State | WA
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Zip | 98665-6234
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIFFANY YEE
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Credential | DMD
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Telephone | 971-270-0035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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