Healthcare Provider Details

I. General information

NPI: 1700172889
Provider Name (Legal Business Name): SAYAKA KONDO ARIMOTO D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAYAKA KONDO D.D.S.

II. Dates (important events)

Enumeration Date: 06/27/2011
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26401 PACIFIC HWY S STE 201
DES MOINES WA
98198-9247
US

IV. Provider business mailing address

955 POWELL AVE SW
RENTON WA
98057-2908
US

V. Phone/Fax

Practice location:
  • Phone: 206-870-3600
  • Fax: 206-824-1790
Mailing address:
  • Phone: 425-277-1311
  • Fax: 425-277-1566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE60746344
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number27115
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDE60746344
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: