Individual provider · NPI-1

Dr. David Jaywoo Bai, DDS

Dentist · Renton, WA

NPI number1063180131
StatusActive
Last updated in NPPESFeb 28, 2024

Details

NPI
1063180131
Entity type
Individual (NPI-1)
Name
Dr. David Jaywoo Bai
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 2, 2021
Certification date
Nov 7, 2023
Last updated
Feb 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE61195738WAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

10700 Se 174th St Ste 104
Renton, WA 98055-5472

Phone 425-226-5940

Mailing address

207 Main Ave S Apt 602
Renton, WA 98057-5002

Phone 425-943-0179

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