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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TETSUYA SHIRASUKA, DDS

Active

TETSUYA SHIRASUKA, DDS is a General Dentistry healthcare provider located in DES MOINES, Washington. NPI 1740307214 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DES MOINES, WA

Registration Details

NPI Number
1740307214
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2007 (19.367306006903 yrs)
Last Updated
Aug 25, 2017
Licenses
DE00010449 (WA)
59447 (CA)

Practice Information

Address
22625 PACIFIC HWY S
DES MOINES, WA, 981985110
Browse WA providers · Browse ZIP 98198
Phone
2068785665
Fax
2068701504
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in DES MOINES, WA

Name Credential NPI
DR. MARVIN JAY OSTERHOUT D.D.S. 1407940422
DR. VIVIAN HYUN JIN BAE DDS 1194898007
DR. STEVEN MICHAEL REEVES D.D.S. 1689719643
TINA N HOANG DDS 1922125483
KIANOOSH BEHSHID DDS 1053438523
DR. JOSEPH ARDWIN SCHNEIDER DDS 1558663005
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.