Individual
CAIXIA LAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15946 REDMOND WAY STE 106, REDMOND, WA 98052-4061
(425) 898-2168
Mailing address
15946 REDMOND WAY STE 106, REDMOND, WA 98052-4061
(425) 898-2168
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60892442
WA
1223G0001X
General Practice Dentistry
Primary
DE60892442
WA
Other
Enumeration date
10/09/2018
Last updated
06/24/2021
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