# GORDON YAMAGUCHI DDS PS

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

## Provider details

- **NPI number:** 1356405443
- **Authorized official:** DR. GORDON M YAMAGUCHI DDS (DENTIST)
- **Authorized official phone:** (360) 943-9480

## Contact information

- **Practice address:** 108 22ND AVE SW, STE 24, OLYMPIA, WA 98501-2871
- **Practice address phone:** (360) 943-9480
- **Practice address fax:** (360) 943-9568
- **Mailing address:** 108 22ND AVE SW, STE 24, OLYMPIA, WA 98501-2871
- **Mailing address phone:** (360) 943-9480
- **Mailing address fax:** (360) 943-9568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 06/10/2014