Individual
TESORO LUIS KOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30818 PACIFIC HWY S, FEDERAL WAY, WA 98003-4902
(253) 217-6850
(253) 839-1505
Mailing address
22611 112TH AVE SE, KENT, WA 98031-2656
(253) 217-6850
(253) 217-6850
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
61459879
WA
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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