Individual
LISA KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 572-7002
(253) 593-2854
Mailing address
1019 PACIFIC AVE, STE. 300, TACOMA, WA 98402-4443
(253) 597-4550
(253) 597-4556
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
CA51866
CA
122300000X
Dentist
Primary
DE 60258242
WA
Other
Enumeration date
12/29/2006
Last updated
11/12/2015
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