Individual
ANDREW JAMES KAWASAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2953 BROAD AVE, MEMPHIS, TN 38112-2957
(901) 842-3171
Mailing address
1166 VAUGHN RD, MEMPHIS, TN 38122-1612
(701) 490-2137
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11591
DENTAL LICENSE NUMBER
TN
Enumeration date
02/25/2021
Last updated
07/29/2022
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