Provider Demographics
NPI:1497809313
Name:LEUNG, HUGH (DMD)
Entity Type:Individual
Prefix:DR
First Name:HUGH
Middle Name:
Last Name:LEUNG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 E WARD ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-4537
Mailing Address - Country:US
Mailing Address - Phone:253-852-7910
Mailing Address - Fax:
Practice Address - Street 1:431 E WARD ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98030-4537
Practice Address - Country:US
Practice Address - Phone:253-852-7910
Practice Address - Fax:253-656-4424
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000091581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice