# EUNSUN LEW, A DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538392667
- **Authorized official:** DR. EUNSUN LEW D.D.S. (PRESIDENT)
- **Authorized official phone:** (360) 696-0471

## Contact information

- **Practice address:** 6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
- **Practice address phone:** (360) 696-0471
- **Practice address fax:** (360) 696-0472
- **Mailing address:** 6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
- **Mailing address phone:** (360) 696-0471
- **Mailing address fax:** (360) 696-0472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE 60028784 | WA | Yes |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 11/04/2009