# CHUE-GOMEZ DDS, PLLC

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

## Provider details

- **NPI number:** 1487100830
- **Authorized official:** JULIDANG CHUE-GOMEZ DDS (OWNER/DENTIST)
- **Authorized official phone:** (253) 581-2888

## Contact information

- **Practice address:** 6006 100TH ST SW, LAKEWOOD, WA 98499-2734
- **Practice address phone:** (253) 581-2888
- **Mailing address:** 6006 100TH ST SW, LAKEWOOD, WA 98499-2734
- **Mailing address phone:** (253) 581-2888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE00011061 | WA | Yes |
| 1223G0001X | General Practice Dentistry | DE60065174 | WA | — |
| 1223P0300X | Periodontics | DE00010432 | WA | — |

## Other

- **Enumeration date:** 08/26/2016
- **Last updated:** 08/26/2016