Shi & Pan, PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Kirkland, WA. Organization (NPI-2).
NPI number1548043284
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1548043284
- Entity type
- Organization (NPI-2)
- Legal business name
- Shi & Pan, PLLC
- Organization subpart
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
Other names
- Emerald City Orthodontics (Doing Business As)
Practice location
12305 120th Ave Ne Ste GKirkland, WA 98034-6921
Phone 425-588-3899
Mailing address
1321 5th LnKirkland, WA 98033-5667
Phone 310-845-5276
Authorized official
Jiayu Shi
Orthodontist
3108455276
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