Wayne Tetsuo Nakayama D.D.S.

NPI 1053391193 - Dentist - 1223G0001X

NPI Details
NPI 1053391193
Gender Male
Enumeration Date 01/17/2006
Last Updated 02/14/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4514 S CENTINELA AVE
LOS ANGELES CA, 90066-6206, US
Phone (310) 397-6719
Fax (310) 397-2069
Business Location
4514 S CENTINELA AVE
LOS ANGELES CA, 90066-6206, US
Phone (310) 397-6719
Fax (310) 397-2069
Toxanomy
Taxonomy Code 1223G0001X
License State California
License Number 24841
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According to our database, Dr. Wayne Tetsuo Nakayama D.D.S. NPI is 1053391193, taxonomy code is 1223G0001X and license number is 24841, license state is located at California. Wayne Tetsuo Nakayama D.D.S. physically located at 4514 S Centinela Ave, Los Angeles CA, 90066-6206. NPI Number Wayne Tetsuo Nakayama D.D.S. has the Individual type.

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1053391193 NPI number is provided on an as is basis without warranty of any kind. 1053391193 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne Tetsuo Nakayama D.D.S. are for informational purposes only.