Provider Demographics
NPI:1811100290
Name:CHRISTINE SHIGAKI DDS PLLC
Entity type:Organization
Organization Name:CHRISTINE SHIGAKI DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PLLC MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHIGAKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-441-2774
Mailing Address - Street 1:2623 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1309
Mailing Address - Country:US
Mailing Address - Phone:206-441-2774
Mailing Address - Fax:206-441-9774
Practice Address - Street 1:2623 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1309
Practice Address - Country:US
Practice Address - Phone:206-441-2774
Practice Address - Fax:206-441-9774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty