Individual
YUTAKA OKAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5230 TUCKERMAN LN, SUITE 105, NORTH BETHESDA, MD 20852-3474
(240) 667-7705
Mailing address
5230 TUCKERMAN LN, SUITE 105, NORTH BETHESDA, MD 20852-3474
(240) 667-7705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
13735
MD
1223G0001X
General Practice Dentistry
Primary
13735
MD
122400000X
Denturist
13735
MD
Other
Enumeration date
09/03/2008
Last updated
04/07/2010
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