Provider Demographics
NPI:1699412569
Name:LNU, GALE ANN SEBASTIAN (BDS, MDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:GALE ANN SEBASTIAN
Middle Name:
Last Name:LNU
Suffix:
Gender:F
Credentials:BDS, MDS, MSD
Other - Prefix:DR
Other - First Name:GALE
Other - Middle Name:ANN
Other - Last Name:SEBASTIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BDS, MDS, MSD
Mailing Address - Street 1:1959 NE PACIFIC ST # B242
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7131
Mailing Address - Country:US
Mailing Address - Phone:206-543-5297
Mailing Address - Fax:206-616-9520
Practice Address - Street 1:825 EASTLAKE AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4405
Practice Address - Country:US
Practice Address - Phone:206-288-1333
Practice Address - Fax:206-288-1332
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE61153442122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist