Individual
JAROM N LUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1959 NE PACIFIC ST, C-212, BOX 356340, SEATTLE, WA 98195-6340
(206) 543-0065
Mailing address
526 S TONOPAH DR, STE. 200, LAS VEGAS, NV 89106-4043
(702) 291-2031
(702) 366-1483
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DR20000177
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588896740
—
NV
Enumeration date
09/28/2006
Last updated
06/15/2016
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