Tracy H Takenaka, Dds,msd,pllc
NPI #1639487663 in Dupont, Washington
Provider Information
- NPI Number
- 1639487663
- Entity Type
- Organization
- Organization Name
- Tracy H Takenaka, Dds,msd,pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 24, 2010
- Last Updated
- Sep 24, 2010
Practice Location
- Address
- 1200 STATION DR
- Address 2
- SUITE 180
- City
- Dupont
- State
- Washington
- ZIP Code
- 98327-9804
- Phone
- (360) 915-7321
Authorized Official
- Name
- TRACY HARUKO TAKENAKA, DDS
- Title
- MEMBER
- Phone
- (360) 742-9294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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