Provider Demographics
NPI:1710137591
Name:YEE-LO, KAREN (DMD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:YEE-LO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 STEILACOOM BLVD SW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-6199
Mailing Address - Country:US
Mailing Address - Phone:253-584-3333
Mailing Address - Fax:253-589-2556
Practice Address - Street 1:7609 STEILACOOM BLVD SW
Practice Address - Street 2:SUITE 100
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-6199
Practice Address - Country:US
Practice Address - Phone:253-584-3333
Practice Address - Fax:253-589-2556
Is Sole Proprietor?:No
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA77991223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
779281OtherUNITED CONCORDIA
WA5026596Medicaid