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Kanako J Nagatomo, DDS, MSD, PhD

Dentist in Edmonds, WA. Individual provider (NPI-1).

NPI number1124459599
StatusActive
Last updated in NPPESDec 10, 2013

Details

NPI
1124459599
Entity type
Individual (NPI-1)
Name
Mrs. Kanako J Nagatomo
Credential
DDS, MSD, PhD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 10, 2013
Last updated
Dec 10, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDE603596220WAYes
1223G0001X Dentist, General PracticeDE603596220WA
1223P0300X Dentist, PeriodonticsDE603596220WA

Practice location

10014 238th St Sw
Edmonds, WA 98020-5735

Phone 206-542-5590 · Fax 206-542-5977

Mailing address

10014 238th St Sw
Edmonds, WA 98020-5735

Phone 206-542-5590 · Fax 206-542-5977

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