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 |