MEDICARE: CHIANG AND GOEL,PLLC

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1811416084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIANG AND GOEL,PLLC

Provider Business Mailing Address
First Line	:	17705 140TH AVE NE STE A14
Second Line	:
City	:	WOODINVILLE
State	:	WA
Zip	:	98072-4355
Country	:	US
Telephone Number	:	425-947-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	1503 QUEEN ANNE AVE N
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98109-3160
Country	:	US
Telephone Number	:	425-947-2727
Fax Number	:	425-947-2727

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. YOGESH GOEL
Credential	:	DMD
Telephone Number	:	617-763-4217

Provider Enumeration Date	:	09/19/2017
Last Update Date	:	09/19/2017

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