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NPI Code Detail

MEDICARE: THEODORE MASARU FUJIOKA DMD

MEDICARE: THEODORE MASARU FUJIOKA DMD
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
11223G0001XGeneral Practice Dentistry3804WA

General Provider Information

NPI Number : 1346255734
Entity Type Code : Individual
Provider Name (Legal Business Name) : THEODORE MASARU FUJIOKA DMD
Provider Business Mailing Address
First Line : 215 NW 78TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number : 360-696-4439
Fax Number : 360-696-4455
Provider Business Practice Location Address
First Line : 215 NW 78TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number : 360-696-4439
Fax Number : 360-696-4455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1447103635 — SUNDEW DENTAL
Practice Location Address:
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1255346649 — THEODORE M FUJIOKA, DMD, PS
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1144414749 — DR. AIMEE M FUJIOKA D.M.D.
Practice Location Address:
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Practice Fax:
1356610257 — AIMEE M FUJIOKA DMD PS
Practice Location Address:
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98665-7972
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Practice Fax:
1548759913 — FUJIOKA CENTER FOR DENTAL SLEEP MEDICINE PLLC
Practice Location Address:
215 NW 78TH ST
VANCOUVER, WA
98665-7972
Practice Phone: 360-696-4439
Practice Fax: 360-696-4455

Directions to “ THEODORE MASARU FUJIOKA DMD” Practice Location

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