MEDICARE: YES WASHINGTON, 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	DE00009254	WA

General Provider Information

NPI Number	:	1962607762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YES WASHINGTON, PLLC

Provider Business Mailing Address
First Line	:	7632 S 126TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178-4835
Country	:	US
Telephone Number	:	206-772-5673
Fax Number	:	206-772-5674

Provider Business Practice Location Address
First Line	:	7632 S 126TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98178-4835
Country	:	US
Telephone Number	:	206-772-5673
Fax Number	:	206-772-5674

Authorized Official
Title or Position	:	OWNER
Name	:	STEVE K HWANG
Credential	:	D.D.S.
Telephone Number	:	206-772-5673

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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