Individual
YI CHEN LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
600 39TH AVE SW, PUYALLUP, WA 98373-5900
(253) 770-2777
Mailing address
600 39TH AVE SW, PUYALLUP, WA 98373-5900
(253) 770-2777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61421952
WA
Other
Enumeration date
07/09/2022
Last updated
03/25/2025
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