| Goichi Shiotsu Dds P S | |
|
2825 80th Ave Se Ste 3 Mercer Island WA 98040-2977 | |
| (206) 232-3600 | |
| (206) 275-3025 |
| Full Name | Goichi Shiotsu Dds P S |
|---|---|
| Speciality | Dentist |
| Location | 2825 80th Ave Se Ste 3, Mercer Island, Washington |
| Authorized Official Name and Position | Goichi Shiotsu (PRESIDENT) |
| Authorized Official Contact | 2062323600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goichi Shiotsu Dds P S 2825 80th Ave Se Ste 3 Mercer Island WA 98040-2977 Ph: (206) 232-3600 | Goichi Shiotsu Dds P S 2825 80th Ave Se Ste 3 Mercer Island WA 98040-2977 Ph: (206) 232-3600 |
| NPI Number | 1649724220 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649724220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8994 (Washington) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 8994 (Washington) | Secondary |
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