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Dr. Tracy H Takenaka, DDS
Pediatric Dentist in Dupont, Washington
NPI 1124005525

Tracy H Takenaka is a Pediatric Dentist based in Dupont, WA and is specialized in Pediatric Dentistry. Tracy H Takenaka practices in Dupont, WA and has the professional credentials of DDS. The NPI Number for Tracy H Takenaka is 1124005525 and holds a License No. 051468-1 (Washington).

The current practice location address for Tracy H Takenaka is 1200 Station Dr Ste 180, Dupont, WA and can be reached out via phone at 253-964-0150.

Location: 1200 Station Dr Ste 180, Dupont, WA, 98327-9804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124005525
Provider Name
Tracy H Takenaka
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1200 Station Dr Ste 180, Dupont, WA, 98327-9804
Phone Number
253-964-0150
Fax Number
Provider Enumeration Date
12/27/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1200 Station Dr Ste 180
City
Dupont
State
Washington
Zip
98327-9804
Phone Number
253-964-0150
Fax Number
person
Provider Business Mailing Address Details
Address
1200 Station Dr Ste 180
City
Dupont
State
Washington
Zip
98327-9804
Phone Number
253-964-0150
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DE60023910 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
051468-1 (New York)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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