| Mandy J. Louis, D.m.d., P.l.l.c. | |
|
17600 Talbot Rd S Suite 5 Renton WA 98055-5788 | |
| (425) 277-0670 | |
| (425) 228-1644 |
| Full Name | Mandy J. Louis, D.m.d., P.l.l.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 17600 Talbot Rd S, Renton, Washington |
| Authorized Official Name and Position | Mandy J. Louis (MEMBER) |
| Authorized Official Contact | 4252770670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandy J. Louis, D.m.d., P.l.l.c. 17600 Talbot Rd S Suite 5 Renton WA 98055-5788 Ph: (425) 277-0670 | Mandy J. Louis, D.m.d., P.l.l.c. 17600 Talbot Rd S Suite 5 Renton WA 98055-5788 Ph: (425) 277-0670 |
| NPI Number | 1619196664 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619196664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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