Provider Demographics
NPI:1760829501
Name:YANG AND KUO PLLC
Entity Type:Organization
Organization Name:YANG AND KUO PLLC
Other - Org Name:WALLINGFORD SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-247-5678
Mailing Address - Street 1:2507 N 45TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-6909
Mailing Address - Country:US
Mailing Address - Phone:206-633-4035
Mailing Address - Fax:
Practice Address - Street 1:2507 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6909
Practice Address - Country:US
Practice Address - Phone:206-633-4035
Practice Address - Fax:206-547-9706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA601609521223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty