| Tracy H Takenaka, Dds,msd,pllc | |
|
1200 Station Dr Suite 180 Dupont WA 98327-9804 | |
| (360) 915-7321 | |
| Not Available |
| Full Name | Tracy H Takenaka, Dds,msd,pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1200 Station Dr, Dupont, Washington |
| Authorized Official Name and Position | Tracy Haruko Takenaka (MEMBER) |
| Authorized Official Contact | 3607429294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy H Takenaka, Dds,msd,pllc 1200 Station Dr Suite 180 Dupont WA 98327-9804 Ph: (360) 915-7321 | Tracy H Takenaka, Dds,msd,pllc 1200 Station Dr Suite 180 Dupont WA 98327-9804 Ph: (360) 915-7321 |
| NPI Number | 1639487663 |
|---|---|
| Provider Enumeration Date | 09/24/2010 |
| Last Update Date | 09/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639487663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 60023910 (Washington) | Primary |
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