Organization
TRACY H TAKENAKA DDS MSD PS
Active
Other names
Children's Dentistry of Dupont
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY H TAKENAKA DDS (OWNER/DENTIST)
(253) 964-0150
Entity
Organization
Contact information
Practice address
1200 STATION DR STE 180, DUPONT, WA 98327-9804
(253) 964-0150
(253) 964-9830
Mailing address
1200 STATION DR STE 180, DUPONT, WA 98327-9804
(253) 964-0150
(253) 964-9830
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60023910
WA
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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