Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH60203869 | WA |
NPI | 1013251107 |
---|---|
Provider Name | Mrs. Le Phoi-Chau Au |
First Address | Bellevue, WA 98006-5675 |
Second Address | Bellevue, WA 98006-5675 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2012 |
Last Update Date | 15/11/2012 |