Individual
DR. LAN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4095 SW 144TH AVE STE A, BEAVERTON, OR 97005-2368
(503) 643-4719
(503) 626-9488
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6626
(503) 626-9488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7840
OR
122300000X
Dentist
DE61395735
WA
1223G0001X
General Practice Dentistry
DE61395735
WA
Other
Enumeration date
06/01/2009
Last updated
08/14/2025
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