Organization
CHUE-GOMEZ DDS, PLLC
Active
Other names
Sunrise Dental of Lakewood
Organization subpart
No
Provider details
NPI number
Authorized official
JULIDANG CHUE-GOMEZ DDS (OWNER/DENTIST)
(253) 581-2888
Entity
Organization
Contact information
Practice address
6006 100TH ST SW, LAKEWOOD, WA 98499-2734
(253) 581-2888
Mailing address
6006 100TH ST SW, LAKEWOOD, WA 98499-2734
(253) 581-2888
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00011061
WA
1223G0001X
General Practice Dentistry
DE60065174
WA
1223P0300X
Periodontics
DE00010432
WA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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