Provider Demographics
NPI:1093935306
Name:LEE, YOON-SUK (DDS)
Entity Type:Individual
Prefix:DR
First Name:YOON-SUK
Middle Name:
Last Name:LEE
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 1:18623 HWY 99
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4552
Mailing Address - Country:US
Mailing Address - Phone:425-275-9977
Mailing Address - Fax:425-275-9979
Practice Address - Street 1:18623 HWY 99
Practice Address - Street 2:SUITE 210
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4552
Practice Address - Country:US
Practice Address - Phone:425-275-9977
Practice Address - Fax:425-275-9979
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA9491122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist