Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DE60256101 | WA |
NPI | 1093035453 |
---|---|
Provider Name | Dr. Seung Hyun Yu |
First Address | Bellevue, WA 98007-4386 |
Second Address | Bellevue, WA 98007-4386 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2010 |
Last Update Date | 20/08/2015 |