Provider Demographics
NPI:1831109230
Name:MA, JAMES J
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:MA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MA
Other - Middle Name:&
Other - Last Name:ASSOCIATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:22525 SE 64TH PL
Mailing Address - Street 2:SUITE # 170
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-5383
Mailing Address - Country:US
Mailing Address - Phone:425-837-0383
Mailing Address - Fax:425-837-0710
Practice Address - Street 1:22525 SE 64TH PL
Practice Address - Street 2:SUITE # 170
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-5383
Practice Address - Country:US
Practice Address - Phone:425-837-0383
Practice Address - Fax:425-837-0710
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA8351122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist