Individual
STANLEY KAZUO NISHIMURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4100 FACTORIA BLVD SE, SUITE D, BELLEVUE, WA 98006-1262
(425) 747-8888
(425) 564-8562
Mailing address
4100 FACTORIA BLVD SE, SUITE D, BELLEVUE, WA 98006-1262
(425) 747-8888
(425) 564-8562
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 0000 7297
WA
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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