MEDICARE: DR. SAYAKA KONDO ARIMOTO D.D.S.

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	122300000X	Dentist	DE60746344	WA
2	1223G0001X	General Practice Dentistry	27115	TX
3	1223G0001X	General Practice Dentistry	DE60746344	WA

General Provider Information

NPI Number	:	1700172889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAYAKA KONDO ARIMOTO D.D.S.

Provider Business Mailing Address
First Line	:	955 POWELL AVE SW
Second Line	:
City	:	RENTON
State	:	WA
Zip	:	98057-2908
Country	:	US
Telephone Number	:	425-277-1311
Fax Number	:	425-277-1566

Provider Business Practice Location Address
First Line	:	26401 PACIFIC HWY S STE 201
Second Line	:
City	:	DES MOINES
State	:	WA
Zip	:	98198-9247
Country	:	US
Telephone Number	:	206-870-3600
Fax Number	:	206-824-1790

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

Provider Enumeration Date	:	06/27/2011
Last Update Date	:	06/04/2026

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