| Pan-pacific Dentistry | |
|
411 Strander Blvd #207 Tukwila WA 98188-2935 | |
| (206) 575-8180 | |
| (206) 575-8483 |
| Full Name | Pan-pacific Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 411 Strander Blvd, Tukwila, Washington |
| Authorized Official Name and Position | Osamu Nakade (OWNER) |
| Authorized Official Contact | 2065758180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pan-pacific Dentistry 411 Strander Blvd #207 Tukwila WA 98188-2935 Ph: (206) 575-8180 | Pan-pacific Dentistry 411 Strander Blvd #207 Tukwila WA 98188-2935 Ph: (206) 575-8180 |
| NPI Number | 1548686165 |
|---|---|
| Provider Enumeration Date | 03/06/2014 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548686165 | NPI | - | NPPES |
| 5048723 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00009638 (Washington) | Primary |
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