Kyle Fukano DDS Pllc
NPI #1508230038 in Forks, Washington
Provider Information
- NPI Number
- 1508230038
- Entity Type
- Organization
- Organization Name
- Kyle Fukano DDS Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KYLE FUKANO DDS PLLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 20, 2015
- Last Updated
- Jan 26, 2016
Practice Location
- Address
- 421 G ST
- City
- Forks
- State
- Washington
- ZIP Code
- 98331-9025
- Phone
- (360) 374-2288
Authorized Official
- Name
- KYLE TIMOTHY FUKANO, DDS
- Title
- OWNER/PROVIDER
- Phone
- (360) 374-2288
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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