Organization
MAMIKO KURIYA DDS PS
Active
Other names
Ballard Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MAMIKO KURIYA D.D.S, M.S.D (OWNER/ DENTIST)
(206) 747-7661
Entity
Organization
Contact information
Practice address
530 BROADWAY EAST, APT #502, SEATTLE, WA 98102
(206) 747-7661
Mailing address
1400 NW MARKET STREET, SUITE 101, SEATTLE, WA 98107
(206) 946-6970
(206) 494-7829
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE 10425
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2021256
—
WA
Enumeration date
08/28/2016
Last updated
08/28/2016
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