Provider Demographics
NPI:1861830168
Name:SEKIJIMA, JAYNA (DDS)
Entity Type:Individual
Prefix:
First Name:JAYNA
Middle Name:
Last Name:SEKIJIMA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16028 28TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-6413
Mailing Address - Country:US
Mailing Address - Phone:425-466-8952
Mailing Address - Fax:
Practice Address - Street 1:701 N 182ND ST
Practice Address - Street 2:#102
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4430
Practice Address - Country:US
Practice Address - Phone:206-542-7600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-08
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE60485868122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist