Individual
SHAOFAN KEVIN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
5038 TACOMA MALL BLVD, STE. A, TACOMA, WA 98409
(253) 473-2166
(253) 473-2167
Mailing address
5038 TACOMA MALL BLVD, STE. A, TACOMA, WA 98409
(253) 473-2166
(253) 473-2167
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6938
WA
Other
Enumeration date
01/25/2006
Last updated
07/19/2011
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