Provider Demographics
NPI:1124703129
Name:YUN M KANG DDS PLLC
Entity type:Organization
Organization Name:YUN M KANG DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YUN
Authorized Official - Middle Name:MIN
Authorized Official - Last Name:KANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-778-9311
Mailing Address - Street 1:10217 19TH AVE SE STE 203
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4266
Mailing Address - Country:US
Mailing Address - Phone:425-385-8130
Mailing Address - Fax:
Practice Address - Street 1:10217 19TH AVE SE STE 203
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4266
Practice Address - Country:US
Practice Address - Phone:425-385-8130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-16
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty