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Organization
KYLE TANAKA DDS PLLC
Active
Organization
KYLE TANAKA DDS PLLC
Active
Other names
Alderwood Progressive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE TANAKA DDS (PRESIDENT)
(425) 776-2126
Entity
Organization
Contact information
Practice address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 670-8177
Mailing address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 670-8177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010994
WA
Other
Enumeration date
08/30/2010
Last updated
10/16/2012
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