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Individual
DR. NEAL ISHIHARA
Active
Individual
DR. NEAL ISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006737
WA
1223G0001X
General Practice Dentistry
DT-1686
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014162
DSHS
WA
Enumeration date
02/05/2007
Last updated
07/08/2007
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