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Individual

DR. LILY SIOELI KWEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-5036
(253) 589-7188
(253) 284-4384
Mailing address
1019 PACIFIC AVE STE 300, ATTN CREDENTIALING, TACOMA, WA 98402-4488
(253) 597-4550
(253) 597-4556

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
25070
TX
1223G0001X
General Practice Dentistry
4270
KY
1223G0001X
General Practice Dentistry
4896
NV
1223G0001X
General Practice Dentistry
Primary
DE00007820
WA
1223G0001X
General Practice Dentistry
DS038128
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3815KW
REGENCE BLUESHIELD
05
5049069
WA
01
7820WA
WASHINGTON DENTAL
WA
Enumeration date
08/29/2006
Last updated
11/12/2015
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