Provider Demographics
NPI:1376107920
Name:HYUK YANG PROFESSIONAL SERVICES
Entity Type:Organization
Organization Name:HYUK YANG PROFESSIONAL SERVICES
Other - Org Name:LYNNWOOD DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUK
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-412-3113
Mailing Address - Street 1:18623 HIGHWAY 99 STE 210
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-4552
Mailing Address - Country:US
Mailing Address - Phone:425-412-3113
Mailing Address - Fax:425-967-3659
Practice Address - Street 1:18623 HIGHWAY 99 STE 201
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98037-4552
Practice Address - Country:US
Practice Address - Phone:425-412-3113
Practice Address - Fax:425-967-3659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental