Organization
CUONG LUU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CUONG LUU (DENTIST)
(615) 335-2727
Entity
Organization
Contact information
Practice address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
Mailing address
431 E WARD ST, KENT, WA 98030-4537
(206) 508-4420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60035350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548413586
—
WA
Enumeration date
08/18/2010
Last updated
05/31/2022
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