Individual
GAYLE KONDO JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
22232 17TH AVE SE, SUITE 208, BOTHELL, WA 98021-9998
(425) 485-4010
(425) 806-8140
Mailing address
22232 17TH AVE SE, SUITE 208, BOTHELL, WA 98021-9998
(425) 485-4010
(425) 806-8140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005941
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160372
DEPT OF LABOR & IND
WA
Enumeration date
08/25/2006
Last updated
07/08/2007
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