Individual
DR. GARY NORIAKI KITAZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1127 WILSHIRE BLVD, SUITE 404, LOS ANGELES, CA 90017-3901
(213) 481-1127
(213) 481-1510
Mailing address
1127 WILSHIRE BLVD., SUITE 404, LOS ANGELES, CA 90017-3905
(213) 481-1127
(213) 481-1510
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
23000
CA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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