Provider Demographics
NPI:1750703658
Name:EKAPOJ THONGIN II, DMD, PLLC
Entity type:Organization
Organization Name:EKAPOJ THONGIN II, DMD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:EKAPOJ
Authorized Official - Middle Name:
Authorized Official - Last Name:THONGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-686-3828
Mailing Address - Street 1:220 BROADWAY E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5724
Mailing Address - Country:US
Mailing Address - Phone:206-686-3828
Mailing Address - Fax:206-686-4028
Practice Address - Street 1:220 BROADWAY E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5724
Practice Address - Country:US
Practice Address - Phone:206-686-3828
Practice Address - Fax:206-686-4028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA7158261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental