| NPI | 1487100830 |
|---|---|
| Doing Business As | SUNRISE DENTAL OF LAKEWOOD |
| Entity Type | Organization |
| Authorized Contact | JULIDANG CHUE-GOMEZ Owner/Dentist 253-581-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00011061) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE60065174) |
| 1223P0300X Dentist, Periodontics (Licence: WA DE00010432) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |