# KYLE TANAKA DDS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alderwood Progressive Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326354226
- **Authorized official:** DR. KYLE TANAKA DDS (PRESIDENT)
- **Authorized official phone:** (425) 776-2126

## Contact information

- **Practice address:** 19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
- **Practice address phone:** (425) 776-2126
- **Practice address fax:** (425) 670-8177
- **Mailing address:** 19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
- **Mailing address phone:** (425) 776-2126
- **Mailing address fax:** (425) 670-8177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00010994 | WA | Yes |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 10/16/2012