| Jacob Sung, Dds, Pllc | |
|
16510 State Route 9 Se Ste 102 Snohomish WA 98296-8370 | |
| (360) 863-3921 | |
| Not Available |
| Full Name | Jacob Sung, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 16510 State Route 9 Se Ste 102, Snohomish, Washington |
| Authorized Official Name and Position | Jacob Sung (DENTIST) |
| Authorized Official Contact | 4257531476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Sung, Dds, Pllc 20932 42nd Ave Se Unit A Bothell WA 98021-7913 Ph: (425) 753-1476 | Jacob Sung, Dds, Pllc 16510 State Route 9 Se Ste 102 Snohomish WA 98296-8370 Ph: (360) 863-3921 |
| NPI Number | 1396200077 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396200077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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