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NPI Code Detail

MEDICARE: AIMEE M FUJIOKA DMD PS

MEDICARE: AIMEE M FUJIOKA DMD PS
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 Dentistry

General Provider Information

NPI Number : 1356610257
Entity Type Code : Organization
Provider Name (Legal Business Name) : AIMEE M FUJIOKA DMD PS
Provider Business Mailing Address
First Line : 215 NW 78TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-7972
Country : US
Telephone Number :
Fax Number :
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 :
Authorized Official
Title or Position : PRESIDENT
Name : AIMEE FUJIOKA
Credential :
Telephone Number : 360-696-4439
Provider Enumeration Date : 12/21/2011
Last Update Date : 12/21/2011

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Directions to “AIMEE M FUJIOKA DMD PS ” Practice Location

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