# ALAN P KAWAKAMI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063779841
- **Authorized official:** DR. ALAN PAUL KAWAKAMI DDS (ORTHODONTIST)
- **Authorized official phone:** (520) 459-1600

## Contact information

- **Practice address:** 2700 E FRY BLVD, SUITE B-9, SIERRA VISTA, AZ 85635-2826
- **Practice address phone:** (520) 459-1600
- **Practice address fax:** (520) 459-5763
- **Mailing address:** 2700 E FRY BLVD, SUITE B-9, SIERRA VISTA, AZ 85635-2826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2044 | AZ | Yes |
| 261QD0000X | Dental Clinic/Center | 2044 | AZ | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 08/11/2017