Provider Demographics
NPI:1154486561
Name:LIU, YAKO (DDS)
Entity type:Individual
Prefix:MR
First Name:YAKO
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S 348TH ST
Mailing Address - Street 2:UNIT #A1-A
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7000
Mailing Address - Country:US
Mailing Address - Phone:253-517-9065
Mailing Address - Fax:253-251-1938
Practice Address - Street 1:720 S 348TH ST
Practice Address - Street 2:UNIT #A1-A
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-7000
Practice Address - Country:US
Practice Address - Phone:253-517-9065
Practice Address - Fax:253-251-1938
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000094611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice