Individual
DR. ALAN P KAWAKAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
(520) 459-1600
(520) 459-5763
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2044
AZ
332BC3200X
Customized Equipment (DME)
2044
AZ
Other
Enumeration date
10/24/2006
Last updated
08/11/2017
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