# MAMIKO KURIYA DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ballard Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013463371
- **Authorized official:** MAMIKO KURIYA D.D.S, M.S.D (OWNER/ DENTIST)
- **Authorized official phone:** (206) 747-7661

## Contact information

- **Practice address:** 530 BROADWAY EAST, APT \#502, SEATTLE, WA 98102
- **Practice address phone:** (206) 747-7661
- **Mailing address:** 1400 NW MARKET STREET, SUITE 101, SEATTLE, WA 98107
- **Mailing address phone:** (206) 946-6970
- **Mailing address fax:** (206) 494-7829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE 10425 | WA | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016