Individual
KENJI W HIGUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12509 E MISSION AVE, STE 101, SPOKANE VALLEY, WA 99216-1049
(509) 928-3600
(509) 922-7244
Mailing address
12509 E MISSION AVE, STE 101, SPOKANE VALLEY, WA 99216-1049
(509) 928-3600
(509) 922-7244
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DE00004749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0363
WDS
WA
05
—
5012810
—
WA
01
—
89094
L&I
WA
01
—
8926697
VICTIMS OF CRIME
WA
Enumeration date
10/05/2006
Last updated
12/27/2007
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