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Individual

MICHAEL L MAKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
17425 VASHON HWY SW, SUITE #3, VASHON, WA 98070
(206) 463-9282
(206) 463-6343
Mailing address
PO BOX 673, VASHON, WA 98070-0673
(206) 463-9282
(206) 463-6343

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4729
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53992808
WA
Enumeration date
09/20/2006
Last updated
07/08/2007
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