Individual
PHAMI LIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
17707 W MAIN ST, MONROE, WA 98272-1967
(360) 282-3900
(360) 282-3907
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 640-5167
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60595687
WA
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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