MEDICARE: DOOSU BAIK 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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1992643811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOOSU BAIK PLLC

Provider Business Mailing Address
First Line	:	19720 68TH AVE W STE A
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4568
Country	:	US
Telephone Number	:	425-776-9132
Fax Number	:	425-670-0568

Provider Business Practice Location Address
First Line	:	19720 68TH AVE W STE A
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-4568
Country	:	US
Telephone Number	:	425-776-9132
Fax Number	:	425-670-0568

Authorized Official
Title or Position	:	OWNER
Name	:	DOOSU BAIK
Credential	:	DDS
Telephone Number	:	310-560-1423

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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