Sae Chan Lee, | |
26401 Pacific Hwy S, Des Moines, WA 98198-9247 | |
(206) 870-3600 | |
Not Available |
Full Name | Sae Chan Lee |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 26401 Pacific Hwy S, Des Moines, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700245248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DE60675379 (Washington) | Primary |
Entity Name | Kim & Lee Dds Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558038513 PECOS PAC ID: 7416347133 Enrollment ID: O20211210001694 |
Entity Name | Kim & Lee A Dental Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588288591 PECOS PAC ID: 2466843594 Enrollment ID: O20211229000667 |
Mailing Address | Practice Location Address |
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Sae Chan Lee, 955 Powell Ave Sw, Renton, WA 98057-2908 Ph: () - | Sae Chan Lee, 26401 Pacific Hwy S, Des Moines, WA 98198-9247 Ph: (206) 870-3600 |
Kianoosh Behshid, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504 | |
Dr. Barry Douglas Peyton, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 22221 7th Ave S, Suite A, Des Moines, WA 98198 Phone: 206-824-8288 Fax: 206-824-3859 | |
Dr. Vivian Hyun Jin Bae, DDS Dentist Medicare: Medicare Enrolled Practice Location: 20710 1st Ave S, Des Moines, WA 98198 Phone: 206-878-8180 Fax: 206-878-5823 | |
Mamatha Chenepalli, DMD Dentist Medicare: Medicare Enrolled Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 Fax: 206-870-1504 | |
Albert Wong, DMD, MPH Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600 | |
Dr. Charles Tiu Lee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 26401 Pacific Hwy S Ste 201, Des Moines, WA 98198 Phone: 206-870-3600 | |
Nha-tran D. Tran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 22625 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-5665 |