Organization · Type 2 NPI
Tracy H Takenaka DDS MSD PS
Dental Clinic/Center · Dupont, WA
NPI number
1144567504
Active
Practice location
1200 Station Dr Ste 180
Dupont, WA 98327-9804
Fax (253) 964-9830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DE60023910 (WA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Dupont
About NPI 1144567504
Tracy H Takenaka DDS MSD PS's National Provider Identifier is 1144567504, issued on Jan 4, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dupont, WA. The record was last updated on Jan 4, 2013.