Individual
DR. KENJI GRANT BEPPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
14595 BEL RED RD, SUITE #103, BELLEVUE, WA 98007-3928
(425) 562-9070
Mailing address
14595 BEL RED RD, SUITE #103, BELLEVUE, WA 98007-3928
(425) 562-9070
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00008581
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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