Individual
DR. KENT KOSHI KUSAKABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1414 E YESLER WAY, SEATTLE, WA 98122-5508
(206) 324-2232
(206) 324-6006
Mailing address
1414 E YESLER WAY, SEATTLE, WA 98122-5508
(206) 324-2232
(206) 324-6006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5001813
—
WA
Enumeration date
07/23/2006
Last updated
07/09/2007
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