JSB Entertainment Inc.

Primary specialty

Dental LaboratoryTaxonomy code 292200000X

Legal business name

JSB ENTERTAINMENT INC.

Doing business as

Phoenix Dental Lab

Practice address

6505 218TH St SW Ste 1
Mountlake Terrace, WA 98043-2135

Phone

(425) 670-2080

NPI assigned

May 17, 2022

Last updated

May 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sang Lee

Title

Lab Owner/Lead Dental Technician

Phone

(425) 670-2080

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Dental Lab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1265179626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 218TH ST SW STE 1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432135",
            "telephone_number": "425-670-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 218TH ST SW STE 1",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432135",
            "telephone_number": "425-670-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSB ENTERTAINMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SANG",
        "authorized_official_title_or_position": "LAB OWNER/LEAD DENTAL TECHNICIAN",
        "authorized_official_telephone_number": "425-670-2080"
    },
    "taxonomies": [
        {
            "code": "292200000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Dental Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Renee Jones, AMFT
• Karyn Lucille Jones
• Lindsey Brooke Jones, MED, LMHC
• Joseph C. Hwang, DDS, PLLC
• Maudashley Joseph
• Eduardo Jubis, D.C.
• Caitlin Anne Kahn, DPT
• Diane M Kalvelage, ARNP
• Stephanie Kang, D.M.D
• Kathryn L Jagow, DDS

• Dental Laboratory in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Dental Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.