Organization
EUNSUN LEW, A DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUNSUN LEW D.D.S. (PRESIDENT)
(360) 696-0471
Entity
Organization
Contact information
Practice address
6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 696-0471
(360) 696-0472
Mailing address
6614 E MILL PLAIN BLVD, VANCOUVER, WA 98661-7458
(360) 696-0471
(360) 696-0472
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 60028784
WA
Other
Enumeration date
08/24/2009
Last updated
11/04/2009
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