Provider Demographics
NPI:1710406335
Name:JULIE S HONG DDS PLLC
Entity Type:Organization
Organization Name:JULIE S HONG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-348-4141
Mailing Address - Street 1:620 SE EVERETT MALL WAY STE 310
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3279
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000091301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty