Tracy H Takenaka DDS Msd Ps
NPI #1144567504 in Dupont, Washington
Provider Information
- NPI Number
- 1144567504
- Entity Type
- Organization
- Organization Name
- Tracy H Takenaka DDS Msd Ps
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 4, 2013
- Last Updated
- Jan 4, 2013
Practice Location
- Address
- 1200 STATION DR STE 180
- City
- Dupont
- State
- Washington
- ZIP Code
- 98327-9804
- Phone
- (253) 964-0150
Authorized Official
- Name
- TRACY H TAKENAKA, DDS
- Title
- OWNER/DENTIST
- Phone
- (253) 964-0150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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