Juanita Kids Dentistry

LBN: Jinju Song Dmd Pllc
Juanita Kids Dentistry is an health care organization with primary practice located at 9707 Ne 119Th Way , Kirkland WA 98034-8955. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Jinju Song Dmd Pllc can be contacted via phone (425) 310-8338, or through Song, Jinju via phone (425) 310-8338.

Contact Information

Primary practice address
9707 Ne 119Th Way Kirkland WA 98034-8955
Phone: (425) 310-8338
Fax: (425) 449-5933
Website:
Map and Directions
Authorized official contact:
Name: Song, Jinju Doctor of Dental Medicine (DMD)
Phone: (425) 310-8338

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DE60300517 Washington

Profile Details

NPI number 1497248017
LBN Legal business name Jinju Song Dmd Pllc
DBA Doing business as Juanita Kids Dentistry
Authorized official Song, Jinju Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2018
Last updated Jun 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497248017 NPPES
Other 1255644316 INDIVIDUAL NPI
Other DE60300517 INDIVIDUAL NPI

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