MEDICARE: JOHN M MURAMATSU DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0006055	WA
2	1223G0001X	General Practice Dentistry	0006055WA	WA

General Provider Information

NPI Number	:	1013026012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN M MURAMATSU DDS

Provider Business Mailing Address
First Line	:	15580 3RD AVENUE SW
Second Line	:	SUITE 201
City	:	BURIEN
State	:	WA
Zip	:	98166-2566
Country	:	US
Telephone Number	:	206-242-4500
Fax Number	:	206-439-9453

Provider Business Practice Location Address
First Line	:	15580 3RD AVENUE SW
Second Line	:	SUITE 201
City	:	BURIEN
State	:	WA
Zip	:	98166-2566
Country	:	US
Telephone Number	:	206-242-4500
Fax Number	:	206-439-9453

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	02/25/2011

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