Organization
DIANE TUNG DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE TUNG DDS (PEDIATRIC DENTIST)
(206) 853-7173
Entity
Organization
Contact information
Practice address
128 NE 52ND ST, SEATTLE, WA 98105-3752
(206) 853-7173
Mailing address
19270 AURORA AVE N, STE 2, SHORELINE, WA 98133-3963
(206) 853-7173
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60041548
WA
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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