# GOICHI SHIOTSU DDS P S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOICHI SHIOTSU DDS P S
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649724220
- **Authorized official:** DR. GOICHI SHIOTSU DDS P S (PRESIDENT)
- **Authorized official phone:** (206) 232-3600

## Contact information

- **Practice address:** 2825 80TH AVE SE STE 3, MERCER ISLAND, WA 98040-2977
- **Practice address phone:** (206) 232-3600
- **Practice address fax:** (206) 275-3025
- **Mailing address:** 2825 80TH AVE SE STE 3, MERCER ISLAND, WA 98040-2977
- **Mailing address phone:** (206) 232-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 8994 | WA | Yes |
| 332BC3200X | Customized Equipment (DME) | 8994 | WA | — |

## Other

- **Enumeration date:** 08/11/2016
- **Last updated:** 08/11/2016