Individual
LUKE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
OLYMPIC MODERN DENTISTRY, POINT FOSDICK DR STE 300, GIG HARBOR, WA 98335-7491
(949) 394-7132
Mailing address
7312 57TH AVENUE CT NW, GIG HARBOR, WA 98335-7491
(949) 394-7132
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DENT.DE.61185255
WA
1223G0001X
General Practice Dentistry
Primary
DE61185255
WA
Other
Enumeration date
08/31/2021
Last updated
10/18/2021
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