| Kae Dental | |
|
4116 California Ave Sw Apt 101 Seattle WA 98116-4151 | |
| (206) 708-1845 | |
| (206) 913-2516 |
| Full Name | Kae Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4116 California Ave Sw Apt 101, Seattle, Washington |
| Authorized Official Name and Position | Joon W Kae (DENTIST/OWNER) |
| Authorized Official Contact | 2067081845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kae Dental 4116 California Ave Sw Apt 101 Seattle WA 98116-4151 Ph: (206) 708-1845 | Kae Dental 4116 California Ave Sw Apt 101 Seattle WA 98116-4151 Ph: (206) 708-1845 |
| NPI Number | 1336695469 |
|---|---|
| Provider Enumeration Date | 08/29/2016 |
| Last Update Date | 08/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336695469 | NPI | - | NPPES |
| 1811064884 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9075 (Washington) | Primary |
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