Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DE60941923 | WA |
NPI | 1013579721 |
---|---|
Provider Name | Dr. Lauren Sachiko Todoki |
First Address | Seattle, WA 98103-8038 |
Second Address | Tukwila, WA 98188-2961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2019 |
Last Update Date | 02/07/2019 |