Individual
DR. ROGER WAYNE NAKANISHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146
Mailing address
15955 NE 85TH ST STE 101, REDMOND, WA 98052-3550
(425) 883-2933
(425) 885-0146
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5953
WA
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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