| NPI | 1083799068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN C LEUNG Practice Owner/Dentist 253-288-9608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 9810) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |