Individual
GORDON YAMAGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
108 22ND AVE SW STE 24, OLYMPIA, WA 98501-2871
(360) 943-9480
(360) 943-9568
Mailing address
108 22ND AVE SW STE 24, OLYMPIA, WA 98501-2871
(360) 943-9480
(360) 943-9568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00004999
WA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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