Provider Demographics
NPI:1811416084
Name:CHIANG AND GOEL,PLLC
Entity Type:Organization
Organization Name:CHIANG AND GOEL,PLLC
Other - Org Name:PURE DENTAL ARTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YOGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-763-4217
Mailing Address - Street 1:17705 140TH AVE NE STE A14
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-4355
Mailing Address - Country:US
Mailing Address - Phone:425-947-2727
Mailing Address - Fax:
Practice Address - Street 1:1503 QUEEN ANNE AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3160
Practice Address - Country:US
Practice Address - Phone:425-947-2727
Practice Address - Fax:425-947-2727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-19
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty