Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | DE00009955 | WA |
NPI | 1043305600 |
---|---|
Provider Name | Yoo-Lee Yea |
First Address | Seattle, WA 98122-5999 |
Second Address | Seattle, WA 98122-5999 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |