Provider Demographics
NPI:1962739102
Name:DAVID AU-YEUNG, DMD., PLLC
Entity type:Organization
Organization Name:DAVID AU-YEUNG, DMD., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:AU-YEUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-883-1331
Mailing Address - Street 1:16455 NE 85TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3673
Mailing Address - Country:US
Mailing Address - Phone:425-883-1331
Mailing Address - Fax:425-556-0763
Practice Address - Street 1:2033 2ND AVE
Practice Address - Street 2:#906
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-2242
Practice Address - Country:US
Practice Address - Phone:415-830-1550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE600572991223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty