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Individual

DR. TATE KEONE NOBUO MASUNAGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
20709 MOUNTAIN HWY E STE 101, SPANAWAY, WA 98387-8580
(253) 948-0879
Mailing address
1209 WESTLAKE AVE N UNIT 539, SEATTLE, WA 98109-4881
(808) 349-5953

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60865193
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/21/2017
Last updated
08/30/2023
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