# KEIKO J WADA DMD

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

## Provider details

- **NPI number:** 1609094705
- **Authorized official:** DR. KEIKO WADA D.M.D. (PRESIDENT)
- **Authorized official phone:** (253) 858-8158

## Contact information

- **Practice address:** 7108 PIONEER WAY STE E, GIG HARBOR, WA 98335-1178
- **Practice address phone:** (253) 858-8158
- **Practice address fax:** (253) 858-5029
- **Mailing address:** 7108 PIONEER WAY STE E, GIG HARBOR, WA 98335-1178
- **Mailing address phone:** (253) 858-8158
- **Mailing address fax:** (253) 858-5029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE00006685 | WA | Yes |

## Other

- **Enumeration date:** 04/23/2007
- **Last updated:** 01/06/2015