| Fukano, Pllc | |
|
1904 3rd Ave Suite 500 Seattle WA 98101-1126 | |
| (206) 623-1140 | |
| (206) 623-5729 |
| Full Name | Fukano, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1904 3rd Ave, Seattle, Washington |
| Authorized Official Name and Position | Tamara L Oden (OFFICE MANAGER) |
| Authorized Official Contact | 2066231140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fukano, Pllc 1904 3rd Ave Suite 500 Seattle WA 98101-1126 Ph: (206) 623-1140 | Fukano, Pllc 1904 3rd Ave Suite 500 Seattle WA 98101-1126 Ph: (206) 623-1140 |
| NPI Number | 1275989527 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 05/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275989527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00008801 (Washington) | Primary |
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