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1194078584
KENTARO ISHIKAWA
CHANHASSEN, MN
NPI
1194078584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MN D13971)
Enumeration Date
2012-10-22
Last Update Date
2018-05-11
Business Address
Dr. KENTARO ISHIKAWA DMD
190 LAKE DR E STE 130
CHANHASSEN, MN 55317
Phone number: 920-830-4100
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Mailing Address
Dr. KENTARO ISHIKAWA DMD
4800 EXCELSIOR BLVD APT 502
ST LOUIS PARK, MN 55416-3064
Phone number: 734-272-2714
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