Organization
CONSTANT LU DDS, PC.
Active
Other names
DBA Lighthouse Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONSTANT E. LU DDS (PRESIDENT)
(360) 576-3570
Entity
Organization
Contact information
Practice address
3205 NE 78TH ST, SUITE 11, VANCOUVER, WA 98665-0697
(360) 576-3570
Mailing address
3205 NE 78TH ST, SUITE 11, VANCOUVER, WA 98665-0697
(360) 576-3570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5026455
—
WA
Enumeration date
03/26/2007
Last updated
01/22/2014
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