Provider Demographics
NPI:1275121725
Name:LUI, CAROL KARMEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:KARMEN
Last Name:LUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7206 267TH ST NW STE 104
Mailing Address - Street 2:
Mailing Address - City:STANWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98292-6269
Mailing Address - Country:US
Mailing Address - Phone:360-389-3198
Mailing Address - Fax:866-501-0671
Practice Address - Street 1:7206 267TH ST NW STE 104
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-6269
Practice Address - Country:US
Practice Address - Phone:360-389-3198
Practice Address - Fax:866-501-0671
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA610476521223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry