# MICHAEL L. MAKI, DDS

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

## Provider details

- **NPI number:** 1417260134
- **Authorized official:** MRS. CAROL J MAKI (OFFICE MANAGER)
- **Authorized official phone:** (206) 463-9282

## Contact information

- **Practice address:** 17425 VASHON HWY SW, VASHON, WA 98070-4653
- **Practice address phone:** (206) 463-9282
- **Practice address fax:** (206) 463-6343
- **Mailing address:** PO BOX 673, VASHON, WA 98070-0673
- **Mailing address phone:** (206) 463-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 00004729 | WA | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 07/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5392808 | — | WA |