Organization
GARY ELDON HEYAMOTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ELDON HEYAMOTO DDS (DENTIST/OWNER)
(425) 485-8885
Entity
Organization
Contact information
Practice address
1729 208TH ST SE STE 101, BOTHELL, WA 98012-7789
(425) 485-8885
(425) 485-8341
Mailing address
1729 208TH ST SE STE 101, BOTHELL, WA 98012-7789
(425) 485-8885
(425) 485-8341
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5433
WA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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