Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DE60020532 | WA |
NPI | 1033363221 |
---|---|
Provider Name | Youngjae Yoon |
First Address | Woodinville, WA 98072-6928 |
Second Address | Woodinville, WA 98072-6928 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2008 |
Last Update Date | 19/01/2017 |