Individual
DR. NEAL ISHIHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
(360) 855-1689
Mailing address
825 MURDOCK ST, SEDRO WOOLLEY, WA 98284-1451
(360) 855-1689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00006737
WA
1223G0001X
General Practice Dentistry
DT-1686
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014162
DSHS
WA
Enumeration date
02/05/2007
Last updated
07/08/2007
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