Individual
SHANG LUN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2505 S 320TH ST, FEDERAL WAY, WA 98003-5400
(206) 400-0800
Mailing address
2505 S 320TH ST, FEDERAL WAY, WA 98003-5400
(206) 400-0800
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE60688009
WA
Other
Enumeration date
07/25/2016
Last updated
10/12/2016
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