Provider Demographics
NPI:1942359013
Name:CROWLEY, CORINNE TRAN-LUONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:TRAN-LUONG
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 SOMERSET DR SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3429
Mailing Address - Country:US
Mailing Address - Phone:206-579-2102
Mailing Address - Fax:
Practice Address - Street 1:120 W DAYTON ST STE C2
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-4181
Practice Address - Country:US
Practice Address - Phone:425-778-7477
Practice Address - Fax:425-778-0406
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 10320122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist