# THEODORE M FUJIOKA, DMD, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255346649
- **Authorized official:** DR. THEODORE MASARU FUJIOKA DMD (PRESIDENT)
- **Authorized official phone:** (360) 696-4439

## Contact information

- **Practice address:** 215 NW 78TH ST, VANCOUVER, WA 98665-7972
- **Practice address phone:** (360) 696-4439
- **Practice address fax:** (360) 696-4455
- **Mailing address:** 215 NW 78TH ST, VANCOUVER, WA 98665-7972
- **Mailing address phone:** (360) 696-4439
- **Mailing address fax:** (360) 696-4455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3804 | WA | Yes |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 08/22/2020