Individual
ASHOK AUGUSTINE LALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
26228 PACIFIC HWY S, MIDWAY DENTAL CENTER, KENT, WA 98032-6934
(253) 941-1889
(253) 941-3363
Mailing address
MIDWAY DENTAL CENTER, 26228 PACIFIC HWY SO, KENT, WA 98032
(253) 941-1889
(253) 941-3363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE005520
WA
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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