Individual
CHIAKI ASAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1717 WALDEN AVE, CHEEKTOWAGA, NY 14225-4924
(831) 236-1156
Mailing address
1717 WALDEN AVE, CHEEKTOWAGA, NY 14225-4924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064307
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2023
Last updated
09/17/2024
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