Gary Eldon Heyamoto

NPI #1851726368 in Bothell, Washington

Provider Information

NPI Number: 1851726368
Entity Type: Organization
Organization Name: Gary Eldon Heyamoto
Primary Specialty: Dentist
Enumeration Date: Sep 4, 2013
Last Updated: Sep 4, 2013

Practice Location

Address: 1729 208TH ST SE STE 101
City: Bothell
State: Washington
ZIP Code: 98012-7789
Phone: (425) 485-8885

Authorized Official

Name: DR. GARY ELDON HEYAMOTO, DDS
Title: DENTIST/OWNER
Phone: (425) 485-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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