Individual
MRS. KANAKO J NAGATOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD, PHD
Contact information
Practice address
10014 238TH ST SW, EDMONDS, WA 98020-5735
(206) 542-5590
(206) 542-5977
Mailing address
10014 238TH ST SW, EDMONDS, WA 98020-5735
(206) 542-5590
(206) 542-5977
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE603596220
WA
1223G0001X
General Practice Dentistry
DE603596220
WA
1223P0300X
Periodontics
DE603596220
WA
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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