| Diane Tung Dds Pllc | |
|
128 Ne 52nd St Seattle WA 98105-3752 | |
| (206) 853-7173 | |
| Not Available |
| Full Name | Diane Tung Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 128 Ne 52nd St, Seattle, Washington |
| Authorized Official Name and Position | Diane Tung (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2068537173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diane Tung Dds Pllc 19270 Aurora Ave N Ste 2 Shoreline WA 98133-3963 Ph: (206) 853-7173 | Diane Tung Dds Pllc 128 Ne 52nd St Seattle WA 98105-3752 Ph: (206) 853-7173 |
| NPI Number | 1669842332 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669842332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60041548 (Washington) | Primary |
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