| Sunrise Dental Of Mount Vernon | |
|
2120 Freeway Dr Mount Vernon WA 98273-5478 | |
| (360) 848-6777 | |
| Not Available |
| Full Name | Sunrise Dental Of Mount Vernon |
|---|---|
| Speciality | Dentist |
| Location | 2120 Freeway Dr, Mount Vernon, Washington |
| Authorized Official Name and Position | Yun Min Kang (OWNER) |
| Authorized Official Contact | 3608486777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Dental Of Mount Vernon 2120 Freeway Dr Mount Vernon WA 98273-5478 Ph: (360) 848-6777 | Sunrise Dental Of Mount Vernon 2120 Freeway Dr Mount Vernon WA 98273-5478 Ph: (360) 848-6777 |
| NPI Number | 1043768864 |
|---|---|
| Provider Enumeration Date | 09/21/2016 |
| Last Update Date | 09/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043768864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE60228356 (Washington) | Primary |
| 122300000X | Dentist | DE60104986 (Washington) | Secondary |
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