Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TRACY H TAKENAKA, D.D.S.
ActiveDR. TRACY H TAKENAKA, D.D.S. is a Pediatric Dentistry healthcare provider located in DUPONT, Washington. NPI 1124005525 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · DUPONT, WA
Registration Details
- NPI Number
- 1124005525
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 27, 2005 (20.636498456884 yrs)
- Last Updated
- Aug 11, 2011
- Licenses
-
051468-1 (NY)DE60023910 (WA)
Practice Information
- Address
-
1200 STATION DR STE 180DUPONT, WA, 983279804Browse WA providers · Browse ZIP 98327
- Phone
- 2539640150
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.