Organization
NW FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER NAKANISHI DDS, CDT (CO OWNER)
(425) 883-2933
Entity
Organization
Contact information
Practice address
15955 NE 85TH ST, STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146
Mailing address
15955 NE 85TH ST, STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
603-005-065
WA
Other
Enumeration date
04/15/2010
Last updated
04/16/2010
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