Gentai Ni, DDS
NPI #1326692013 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1326692013
- Entity Type
- Individual
- Name
- Gentai Ni, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jul 30, 2019
- Last Updated
- Oct 10, 2021
Practice Location
- Address
- 20639 STATE ROUTE 410 E
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-8461
- Phone
- (253) 862-0194
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Dentist - General Practice — General Practice |
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