Goichi Shiotsu DDS P S

NPI #1649724220 in Mercer Island, Washington

Provider Information

NPI Number: 1649724220
Entity Type: Organization
Organization Name: Goichi Shiotsu DDS P S
Primary Specialty: Dentist
Enumeration Date: Aug 11, 2016
Last Updated: Aug 11, 2016

Practice Location

Address: 2825 80TH AVE SE STE 3
City: Mercer Island
State: Washington
ZIP Code: 98040-2977
Phone: (206) 232-3600

Authorized Official

Name: DR. GOICHI SHIOTSU, DDS P S
Title: PRESIDENT
Phone: (206) 232-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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