Individual
WAYNE ENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8532 122ND AVE NE, KIRKLAND, WA 98033-5831
(206) 250-4178
Mailing address
9421 244TH ST SW APT AG201, EDMONDS, WA 98020-7525
(206) 250-4178
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH60299399
WA
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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