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1710082854
ROGER WAYNE NAKANISHI
REDMOND, WA
NPI
1710082854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA 5953)
Enumeration Date
2006-09-13
Last Update Date
2007-07-08
Business Address
Dr. ROGER WAYNE NAKANISHI DDS
15955 NE 85TH ST STE 101
REDMOND, WA 98052-3550
Phone number: 425-883-2933
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Mailing Address
Dr. ROGER WAYNE NAKANISHI DDS
15955 NE 85TH ST STE 101
REDMOND, WA 98052-3550
Phone number: 425-883-2933
Copy
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