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Organization
VINA LU DMD PLLC
Active
Organization
VINA LU DMD PLLC
Active
Other names
VINA LU DMD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HACHLER (BILLING SPECIALIST)
(425) 344-9848
Entity
Organization
Contact information
Practice address
11066 5TH AVE NE STE 208, SEATTLE, WA 98125-6156
(206) 362-1516
Mailing address
11066 5TH AVE NE STE 208, SEATTLE, WA 98125-6156
(206) 362-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61127831
DENTAL LICENSE
WA
Enumeration date
12/21/2021
Last updated
12/21/2021
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