Healthcare Provider Details
I. General information
NPI: 1548340086
Provider Name (Legal Business Name): WU & DOWD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17530 132ND AVE NE STE H
WOODINVILLE WA
98072-8500
US
IV. Provider business mailing address
17530 132ND AVE NE STE H
WOODINVILLE WA
98072-8500
US
V. Phone/Fax
- Phone: 425-489-1166
- Fax: 425-489-3066
- Phone: 425-489-1166
- Fax: 425-489-3066
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | WA |
VIII. Authorized Official
Name: DR.
CRISTIN
ERYE
DOWD
Title or Position: DENTIST
Credential: DDS
Phone: 425-489-1166