| NPI | 1063779841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN PAUL KAWAKAMI Orthodontist 520-459-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 2044) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AZ 2044) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2017-08-11 |