Individual
DR. CONSTANT E. LU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3205 NE 78TH ST, VANCOUVER, WA 98665-0697
(360) 576-3570
Mailing address
400 N STONEGATE DR, WASHOUGAL, WA 98671-8587
(360) 844-5616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5026455
—
WA
Enumeration date
08/27/2006
Last updated
01/22/2014
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