Provider Demographics
NPI:1942738497
Name:LWO, YU (DDS)
Entity Type:Individual
Prefix:
First Name:YU
Middle Name:
Last Name:LWO
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 1:4005 15TH AVE NE APT 708
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-5262
Mailing Address - Country:US
Mailing Address - Phone:206-294-8430
Mailing Address - Fax:
Practice Address - Street 1:1740 NW MAPLE ST STE 110
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-8000
Practice Address - Country:US
Practice Address - Phone:425-392-8992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2017-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA607283471223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics