Eunsun Lew, A Dental Corporation | |
6614 E Mill Plain Blvd Vancouver WA 98661-7458 | |
(360) 696-0471 | |
(360) 696-0472 |
Full Name | Eunsun Lew, A Dental Corporation |
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Speciality | Clinic/center - Dental |
Location | 6614 E Mill Plain Blvd, Vancouver, Washington |
Authorized Official Name and Position | Eunsun Lew (PRESIDENT) |
Authorized Official Contact | 3606960471 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eunsun Lew, A Dental Corporation 6614 E Mill Plain Blvd Vancouver WA 98661-7458 Ph: (360) 696-0471 | Eunsun Lew, A Dental Corporation 6614 E Mill Plain Blvd Vancouver WA 98661-7458 Ph: (360) 696-0471 |
NPI Number | 1538392667 |
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Provider Enumeration Date | 08/24/2009 |
Last Update Date | 11/04/2009 |
Identifier | Type | State | Issuer |
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1538392667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DE 60028784 (Washington) | Primary |
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