Organization
KYLE TANAKA DDS PLLC
Active
Other names
Alderwood Progressive Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE TANAKA DDS (PRESIDENT)
(425) 776-2126
Entity
Organization
Contact information
Practice address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 670-8177
Mailing address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 670-8177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010994
WA
Other
Enumeration date
08/30/2010
Last updated
10/16/2012
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