# MANDY J. LOUIS, D.M.D., P.L.L.C.

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

## Provider details

- **NPI number:** 1619196664
- **Authorized official:** DR. MANDY J. LOUIS DMD (MEMBER)
- **Authorized official phone:** (425) 277-0670

## Contact information

- **Practice address:** 17600 TALBOT RD S, SUITE 5, RENTON, WA 98055-5788
- **Practice address phone:** (425) 277-0670
- **Practice address fax:** (425) 228-1644
- **Mailing address:** 17600 TALBOT RD S, SUITE 5, RENTON, WA 98055-5788
- **Mailing address phone:** (425) 277-0670
- **Mailing address fax:** (425) 228-1644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020