Organization
TRACY H TAKENAKA, DDS,MSD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HARUKO TAKENAKA DDS (MEMBER)
(360) 742-9294
Entity
Organization
Contact information
Practice address
1200 STATION DR, SUITE 180, DUPONT, WA 98327-9804
(360) 915-7321
Mailing address
1200 STATION DR, SUITE 180, DUPONT, WA 98327-9804
(360) 915-7321
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
60023910
WA
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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