Individual
DR. GARY ELDEN HEYAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1729 208TH ST SE, #101, BOTHELL, WA 98012-7789
(425) 485-8885
(425) 485-8341
Mailing address
1729 208TH ST SE, #101, BOTHELL, WA 98012-7789
(425) 485-8885
(425) 485-8341
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5433
WA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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