Provider Demographics
NPI:1679006837
Name:LEWINA YOUN DDS PLLC
Entity Type:Organization
Organization Name:LEWINA YOUN DDS PLLC
Other - Org Name:MILL CREEK ENDODONTICS & MICROSURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEWINA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-318-4787
Mailing Address - Street 1:15808 MILL CREEK BLVD
Mailing Address - Street 2:202
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-1500
Mailing Address - Country:US
Mailing Address - Phone:425-318-4787
Mailing Address - Fax:
Practice Address - Street 1:15808 MILL CREEK BLVD
Practice Address - Street 2:202
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1500
Practice Address - Country:US
Practice Address - Phone:425-318-4787
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA606345291223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty