Individual
DR. CRAIG YOSHIO TAKESHITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10945 SOUTH ST, STE 105A, CERRITOS, CA 90703
(562) 924-7769
(562) 924-7760
Mailing address
10945 SOUTH ST, STE 105A, CERRITOS, CA 90703
(562) 924-7769
(562) 924-7760
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3367301
DENTI CAL
CA
Enumeration date
09/07/2006
Last updated
07/08/2007
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