Organization
VINA LU DMD PLLC
Active
Other names
VINA LU DMD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HACHLER (BILLING SPECIALIST)
(425) 344-9848
Entity
Organization
Contact information
Practice address
11066 5TH AVE NE STE 208, SEATTLE, WA 98125-6156
(206) 362-1516
Mailing address
11066 5TH AVE NE STE 208, SEATTLE, WA 98125-6156
(206) 362-1516
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61127831
DENTAL LICENSE
WA
Enumeration date
12/21/2021
Last updated
12/21/2021
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