| NPI | 1629196217 |
|---|---|
| Doing Business As | DBA LIGHTHOUSE DENTAL |
| Entity Type | Organization |
| Authorized Contact | CONSTANT E. LU President 360-576-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA 7444) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-01-22 |