Individual
DARRIN MITSUO TAMANAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1450 FIRST AVENUE SW, QUINCY, WA 98848
(509) 765-0674
(509) 765-6591
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1893
(509) 765-0674
(509) 765-6591
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2092
ND
122300000X
Dentist
D9275
OR
1223G0001X
General Practice Dentistry
Primary
DE60264887
WA
Other
Enumeration date
09/30/2010
Last updated
05/20/2014
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