| Gary Eldon Heyamoto | |
|
1729 208th St Se Ste 101 Bothell WA 98012-7789 | |
| (425) 485-8885 | |
| (425) 485-8341 |
| Full Name | Gary Eldon Heyamoto |
|---|---|
| Speciality | Dentist |
| Location | 1729 208th St Se Ste 101, Bothell, Washington |
| Authorized Official Name and Position | Gary Eldon Heyamoto (DENTIST/OWNER) |
| Authorized Official Contact | 4254858885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Eldon Heyamoto 1729 208th St Se Ste 101 Bothell WA 98012-7789 Ph: (425) 485-8885 | Gary Eldon Heyamoto 1729 208th St Se Ste 101 Bothell WA 98012-7789 Ph: (425) 485-8885 |
| NPI Number | 1851726368 |
|---|---|
| Provider Enumeration Date | 09/04/2013 |
| Last Update Date | 09/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851726368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5433 (Washington) | Primary |
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