Jacob Sung, DDS, PLLC
Clinic/Center, Dental in Snohomish, WA. Organization (NPI-2).
NPI number1396200077
StatusActive
Last updated in NPPESFeb 6, 2019
Details
- NPI
- 1396200077
- Entity type
- Organization (NPI-2)
- Legal business name
- Jacob Sung, DDS, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2019
- Last updated
- Feb 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
16510 State Route 9 Se Ste 102Snohomish, WA 98296-8370
Phone 360-863-3921
Mailing address
20932 42nd Ave Se Unit ABothell, WA 98021-7913
Phone 425-753-1476
Authorized official
Jacob Sung
Dentist
4257531476
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