# DO, GHORBANIAN, IM, KWON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sunrise Dental of Federal Way
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174883169
- **Authorized official:** MRS. CHAU THI DO DMD (DENTIST / OWNER)
- **Authorized official phone:** (253) 838-3232

## Contact information

- **Practice address:** 33600 6TH AVE SO, SUITE - 102, FEDERAL WAY, WA 98003
- **Practice address phone:** (253) 838-3232
- **Practice address fax:** (253) 838-6063
- **Mailing address:** 33600 6TH AVE SO, SUITE - 102, FEDERAL WAY, WA 98003
- **Mailing address phone:** (253) 838-3232
- **Mailing address fax:** (253) 838-6063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00010309 | WA | Yes |
| 122300000X | Dentist | DE00010883 | WA | — |
| 1223P0300X | Periodontics | DE00009746 | WA | — |

## Other

- **Enumeration date:** 05/23/2012
- **Last updated:** 05/23/2012