Individual
DAYTON OKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6717 ROOSEVELT WAY NE APT 415, SEATTLE, WA 98115-6696
(808) 255-9849
Mailing address
6717 ROOSEVELT WAY NE APT 415, SEATTLE, WA 98115-6696
(808) 255-9849
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE61554196
WA
Other
Enumeration date
12/28/2024
Last updated
12/28/2024
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