MEDICARE: MS. LI-KUEI GABRIELLE HUNG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DE00010082	WA

General Provider Information

NPI Number	:	1851381651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LI-KUEI GABRIELLE HUNG D.D.S.

Provider Business Mailing Address
First Line	:	PSC 103 BOX 1683
Second Line	:
City	:	APO
State	:	AE
Zip	:	09603
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 239TH WAY SE
Second Line	:
City	:	SAMMAMISH
State	:	WA
Zip	:	98074-3685
Country	:	US
Telephone Number	:	206-347-0930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	04/20/2008

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