Organization
ALAN P KAWAKAMI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN PAUL KAWAKAMI DDS (ORTHODONTIST)
(520) 459-1600
Entity
Organization
Contact information
Practice address
2700 E FRY BLVD, SUITE B-9, SIERRA VISTA, AZ 85635-2826
(520) 459-1600
(520) 459-5763
Mailing address
2700 E FRY BLVD, SUITE B-9, SIERRA VISTA, AZ 85635-2826
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2044
AZ
261QD0000X
Dental Clinic/Center
2044
AZ
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
04/18/2012
Last updated
08/11/2017
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