Individual
DR. PENELOPE PHUONG MINH RUOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
16549 AURORA AVE N, SHORELINE, WA 98133-5308
(206) 533-2600
Mailing address
9307 NE 118TH LN APT 2-201, KIRKLAND, WA 98034-3632
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60864449
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2018
Last updated
07/12/2019
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