Individual
LEILANI KIYOKO TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
25578
TX
122300000X
Dentist
4196
NM
122300000X
Dentist
Primary
56715
CA
Other
Enumeration date
07/17/2008
Last updated
11/07/2014
Update your record
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