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Individual
DARRIN MITSUO TAMANAHA
Active
Individual
DARRIN MITSUO TAMANAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2092
ND
122300000X
Dentist
D9275
OR
1223G0001X
General Practice Dentistry
Primary
DE60264887
WA
Other
Enumeration date
09/30/2010
Last updated
05/20/2014
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