Provider Demographics
NPI:1942751235
Name:SUNG WOOK YOON DDS,MS,PLLC
Entity type:Organization
Organization Name:SUNG WOOK YOON DDS,MS,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT,OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:WOOK
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS,MS
Authorized Official - Phone:425-219-3434
Mailing Address - Street 1:6840 FORT DENT WAY STE 130
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-2555
Mailing Address - Country:US
Mailing Address - Phone:425-219-3434
Mailing Address - Fax:
Practice Address - Street 1:6840 FORT DENT WAY STE 130
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2555
Practice Address - Country:US
Practice Address - Phone:425-219-3434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60082612122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty