Individual
DR. LILY LOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
444 RAMSAY WAY, KENT, WA 98032-4536
(253) 237-6903
Mailing address
444 RAMSAY WAY STE 109, KENT, WA 98032-4536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61308153
WA
Other
Enumeration date
06/09/2022
Last updated
07/01/2022
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