Organization
CHENG IM SHAO CHUE GOMEZ PLLC
Active
Other names
Sunrise Dental of Maple Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA GALIANT (MANAGER)
(425) 432-4131
Entity
Organization
Contact information
Practice address
22035 SE WAX RD, STE 5, MAPLE VALLEY, WA 98038-8543
(425) 432-4131
Mailing address
22035 SE WAX RD, STE 5, MAPLE VALLEY, WA 98038-8543
(425) 432-4131
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE00011005
WA
Other
Enumeration date
06/11/2016
Last updated
06/11/2016
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