Organization
THEODORE M FUJIOKA, DMD, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MASARU FUJIOKA DMD (PRESIDENT)
(360) 696-4439
Entity
Organization
Contact information
Practice address
215 NW 78TH ST, VANCOUVER, WA 98665-7972
(360) 696-4439
(360) 696-4455
Mailing address
215 NW 78TH ST, VANCOUVER, WA 98665-7972
(360) 696-4439
(360) 696-4455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3804
WA
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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