Provider Demographics
NPI:1841613890
Name:ESTATE OF BYRON NAKAGAWA DDS PS
Entity Type:Organization
Organization Name:ESTATE OF BYRON NAKAGAWA DDS PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:H
Authorized Official - Last Name:MURAYAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-935-3161
Mailing Address - Street 1:4520 42ND AVE SW STE 33
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4240
Mailing Address - Country:US
Mailing Address - Phone:206-935-3161
Mailing Address - Fax:206-933-8453
Practice Address - Street 1:4520 42ND AVE SW STE 33
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4240
Practice Address - Country:US
Practice Address - Phone:206-935-3161
Practice Address - Fax:206-933-8453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty