Individual
LONG DAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10024 SE 240TH ST, SUITE 220, KENT, WA 98031-5124
(253) 852-5440
Mailing address
10024 SE 240TH ST, SUITE 220, KENT, WA 98031-5124
(253) 852-5440
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60636872
WA
152W00000X
Optometrist
TUV008336
NY
Other
Enumeration date
07/16/2015
Last updated
05/01/2017
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