Individual
DR. RANDALL HEISUKE OGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3216 NE 45TH PLACE, SUITE 300WW, SEATTLE, WA 98105-4028
(206) 523-3322
(206) 522-2512
Mailing address
3216 NE 45TH PLACE, SUITE 300WW, SEATTLE, WA 98105-4028
(206) 523-3322
(206) 522-2512
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE00006929
WA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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