Provider Demographics
NPI:1922448778
Name:GILSUN YU DDS PLLC
Entity Type:Organization
Organization Name:GILSUN YU DDS PLLC
Other - Org Name:YOU FIRST DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GILSUN
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-737-5188
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98009-0520
Mailing Address - Country:US
Mailing Address - Phone:253-737-5188
Mailing Address - Fax:253-249-7747
Practice Address - Street 1:4017 A ST SE STE 104
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-8607
Practice Address - Country:US
Practice Address - Phone:253-737-5188
Practice Address - Fax:253-249-7747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-26
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000100591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty