Provider Demographics
NPI:1083832331
Name:PATRICIA MU DMD PC
Entity Type:Organization
Organization Name:PATRICIA MU DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAY-CHU
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:425-882-1112
Mailing Address - Street 1:16510 CLEVELAND ST STE Q
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-4439
Mailing Address - Country:US
Mailing Address - Phone:425-882-1112
Mailing Address - Fax:425-883-8292
Practice Address - Street 1:16510 CLEVELAND ST STE Q
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4439
Practice Address - Country:US
Practice Address - Phone:425-882-1112
Practice Address - Fax:425-883-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA64311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty