Individual
DR. KYLE C TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 776-2126
Mailing address
19320 40TH AVE W, SUITE A, LYNNWOOD, WA 98036-4602
(425) 776-2126
(425) 776-2126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00010994
WA
Other
Enumeration date
10/16/2006
Last updated
06/15/2010
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