Organization
KEN M. SHOU DDS INC
Active
Other names
Surprise Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN M SHOU DDS (PRESIDENT)
(253) 922-5401
Entity
Organization
Contact information
Practice address
900 MERIDIAN E STE 27, STE.27, MILTON, WA 98354-7003
(253) 922-5401
(253) 926-8048
Mailing address
900 MERIDIAN E STE 27, STE.27, MILTON, WA 98354-7003
(253) 922-5401
(253) 926-8048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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