# SHAWN PHAM, DDS, PLLC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Luna Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669240263
- **Authorized official:** SHAWN PHAM DDS (SOLE MEMBER)
- **Authorized official phone:** (253) 222-9269

## Contact information

- **Practice address:** 10209 BRIDGEPORT WAY SW STE B10, LAKEWOOD, WA 98499-2327
- **Practice address phone:** (253) 222-9269
- **Mailing address:** 650 DUVALL AVE NE APT R1323, RENTON, WA 98059-4775
- **Mailing address phone:** (253) 222-9269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/13/2023