Provider Demographics
NPI:1831858786
Name:DICK AND KEIRA YANG, DMD PLLC
Entity type:Organization
Organization Name:DICK AND KEIRA YANG, DMD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DICK
Authorized Official - Middle Name:
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:678-863-2870
Mailing Address - Street 1:12340 NE 115TH PL APT 335
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-4484
Mailing Address - Country:US
Mailing Address - Phone:678-863-2870
Mailing Address - Fax:
Practice Address - Street 1:26425 NE ALLEN ST STE 102
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8628
Practice Address - Country:US
Practice Address - Phone:425-788-1551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental