Provider Demographics
NPI:1174668966
Name:HONG, JULIE SEUNG YUN (DDS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:SEUNG YUN
Last Name:HONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 SE EVERETT MALL WAY, #310
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208
Mailing Address - Country:US
Mailing Address - Phone:425-348-4141
Mailing Address - Fax:425-745-8122
Practice Address - Street 1:620 SE EVERETT MALL WAY STE 310
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3279
Practice Address - Country:US
Practice Address - Phone:425-348-4141
Practice Address - Fax:425-745-8122
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE9130122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist