Provider Demographics
NPI:1548759913
Name:FUJIOKA CENTER FOR DENTAL SLEEP MEDICINE PLLC
Entity Type:Organization
Organization Name:FUJIOKA CENTER FOR DENTAL SLEEP MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:
Authorized Official - Last Name:FUJIOKA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-696-4439
Mailing Address - Street 1:215 NW 78TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-7972
Mailing Address - Country:US
Mailing Address - Phone:360-696-4439
Mailing Address - Fax:360-696-4455
Practice Address - Street 1:215 NW 78TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-7972
Practice Address - Country:US
Practice Address - Phone:360-696-4439
Practice Address - Fax:360-696-4455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic