Kyle Tanaka DDS Pllc

NPI #1326354226 in Lynnwood, Washington

Provider Information

NPI Number: 1326354226
Entity Type: Organization
Organization Name: Kyle Tanaka DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2010
Last Updated: Oct 16, 2012

Practice Location

Address: 19320 40TH AVE W
Address 2: SUITE A
City: Lynnwood
State: Washington
ZIP Code: 98036-4602
Phone: (425) 776-2126

Authorized Official

Name: DR. KYLE TANAKA, DDS
Title: PRESIDENT
Phone: (425) 776-2126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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