Individual
DR. MICHAEL LUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1148 72ND ST E, STE B, TACOMA, WA 98404-1705
(253) 537-5437
Mailing address
302 NE 88TH ST, SEATTLE, WA 98115-2933
(206) 310-3244
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60389371
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2011
Last updated
09/24/2014
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