Provider Demographics
NPI:1912200080
Name:LOUBNA PLA DDS MSD PLLC
Entity Type:Organization
Organization Name:LOUBNA PLA DDS MSD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUBNA
Authorized Official - Middle Name:CHEHAB
Authorized Official - Last Name:PLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:253-906-9866
Mailing Address - Street 1:5615 78TH AVENUE CT W
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98467-3981
Mailing Address - Country:US
Mailing Address - Phone:253-906-9866
Mailing Address - Fax:
Practice Address - Street 1:5615 78TH AVENUE CT W
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98467-3981
Practice Address - Country:US
Practice Address - Phone:253-906-9866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty