Individual
MICHAEL ANDREW DAGEENAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 PROSPECT ST, PORT ORCHARD, WA 98366-5399
(360) 876-3171
(360) 876-3182
Mailing address
3693 HARPER HILL RD SE, PORT ORCHARD, WA 98366-8908
(360) 509-6173
(360) 871-8141
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00009872
WA
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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