ALAN M TAKAKI TAKAKI DENTAL CARE CENTER NPI 1841561024

NPI Information

ALAN M TAKAKI TAKAKI DENTAL CARE CENTER is a general practice dentist in Pueblo, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ALAN M TAKAKI TAKAKI DENTAL CARE CENTER NPI is 1841561024. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Takaki Dental Care Center.

The provider's business location address is:

1630 FORTINO BLVD
PUEBLO, CO
ZIP 81008-856
Phone: (719) 545-2468
Fax: (719) 545-0815

The provider's authorized official is Alan M Takaki .
The authorized official title is Owner and has the following contact phone number (719) 545-2468.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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