City South Dermatology PLLC
City South Dermatology PLLC is a Dermatology Physician in Kent, Washington. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
24604 104th Ave SEKent, WA 98030-5385
Phone: (617) 412-1987
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1255946315 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Lin — Governor · (617) 412-1987 |
| Other names | City South Dermatology; City South Dermatology |
| NPI enumerated | September 14, 2020 |
| Last updated in NPPES | September 18, 2020 |
| Certification date | September 18, 2020 |
| Mailing address | 3715 196th St Sw Unit 2058, Lynnwood, WA 98036-3202 |