| Ken Akimoto Dds Msd Pllc | |
|
22516 Se 64th Pl Suite 250 Issaquah WA 98027-5379 | |
| (425) 392-8992 | |
| (425) 392-0184 |
| Full Name | Ken Akimoto Dds Msd Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 22516 Se 64th Pl, Issaquah, Washington |
| Authorized Official Name and Position | Ken Michael Akimoto (PRESIDENT) |
| Authorized Official Contact | 2069198421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ken Akimoto Dds Msd Pllc 1740 Nw Maple St Suite 110 Issaquah WA 98027-8127 Ph: (425) 392-8992 | Ken Akimoto Dds Msd Pllc 22516 Se 64th Pl Suite 250 Issaquah WA 98027-5379 Ph: (425) 392-8992 |
| NPI Number | 1528310638 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528310638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DE00009198 (Washington) | Primary |
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