Grant Shih Ming Lo in Enumclaw - General Practice
Grant Shih Ming Lo - NPI 1619030160
Grant Shih Ming Lo is a General Practice in Enumclaw, Washington. Grant Shih Ming Lo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Grant Shih Ming Lo is 1619030160. The last update date is 2007-07-08.
Grant Shih Ming Lo's current location address is 2617 Griffin Avenue, Enumclaw, Washington. You can contact this provider via phone number 3608252191 and fax number 3608251830. The mailing address for Grant Shih Ming Lo is 2617 Griffin Avenue, Enumclaw, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant Shih Ming Lo |
|---|---|
| Address | 2617 Griffin Avenue, Enumclaw, Washington |
| Phone Number | 3608252191 |
| Fax Number | 3608251830 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1619030160 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2617 Griffin Avenue |
|---|---|
| City | Enumclaw |
| State | Washington (WA) |
| Post Code | 98022 |
| Phone Number | 3608252191 |
| Fax Number | 3608251830 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9058 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5043567 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Grant Shih Ming Lo by the Centers for Medicare & Medicaid Services?
The Grant Shih Ming Lo has been issued the NPI (National Provider Identifier) 1619030160, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grant Shih Ming Lo?
The Grant Shih Ming Lo is physically situated at 2617 Griffin Avenue, in the city of Enumclaw, state of WA, with the postal code 98022.
What is the Grant Shih Ming Lo's specialty and taxonomy code?
The Grant Shih Ming Lo's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did the Grant Shih Ming Lo receive its 1619030160?
The Grant Shih Ming Lo was issued its 1619030160 on 2006-12-18, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Grant Shih Ming Lo last refreshed?
The information related to the Grant Shih Ming Lo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.