Provider Demographics
NPI:1538193552
Name:AKA, WARREN Y (DDS)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:Y
Last Name:AKA
Suffix:
Gender:M
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:PO BOX 2336
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-0105
Mailing Address - Country:US
Mailing Address - Phone:425-394-1234
Mailing Address - Fax:425-394-1228
Practice Address - Street 1:2912 228TH AVE SE
Practice Address - Street 2:SUITE A
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-9305
Practice Address - Country:US
Practice Address - Phone:425-394-1234
Practice Address - Fax:425-394-1228
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000080691223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry