| Trevor Tsuchikawa D.d.s. P.l.l.c. | |
|
12616 Renton Ave S Ste A Seattle WA 98178-3711 | |
| (206) 772-0163 | |
| (206) 772-7822 |
| Full Name | Trevor Tsuchikawa D.d.s. P.l.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12616 Renton Ave S Ste A, Seattle, Washington |
| Authorized Official Name and Position | Trevor Kenji Tsuchikawa (OWNER/DENTIST) |
| Authorized Official Contact | 2068526835 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trevor Tsuchikawa D.d.s. P.l.l.c. 12616 Renton Ave S Ste A Seattle WA 98178-3711 Ph: (206) 772-0163 | Trevor Tsuchikawa D.d.s. P.l.l.c. 12616 Renton Ave S Ste A Seattle WA 98178-3711 Ph: (206) 772-0163 |
| NPI Number | 1508098641 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508098641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE60035945 (Washington) | Primary |
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