| NPI Details | |
|---|---|
| NPI | 1245359918 |
| Enumeration Date | 03/27/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | TAKEO TAKEO |
| Position | PRESIDENT |
| Phone | (714) 241-1714 |
| Fax | (714) 241-1031 |
| Practice Location | |
|---|---|
| 1200 N TUSTIN AVE SUITE 220 SANTA ANA CA, 92705-3508, US |
|
| Phone | (714) 241-1714 |
| Fax | (714) 241-1031 |
| Business Location | |
|---|---|
| 1200 N TUSTIN AVE SUITE 220 SANTA ANA CA, 92705-3508, US |
|
| Phone | (714) 241-1714 |
| Fax | (714) 241-1031 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | California |
| License Number | D20605 |
| Remove 1245359918 NPI Number | |
According to our database, Takeo Yamamoto, Dds Inc. NPI is 1245359918, taxonomy code is 122300000X and license number is D20605, license state is located at California. Takeo Yamamoto, Dds Inc. physically located at 1200 N Tustin Ave, Santa Ana CA, 92705-3508. NPI Number 1033115704 has the healthcare provider type.
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1245359918 NPI number is provided on an as is basis without warranty of any kind. 1245359918 is maintained by the National Plan & Provider Enumeration System. The contents of Takeo Yamamoto, Dds Inc. are for informational purposes only.
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