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1215049473
DERICK TAKESHI TAGAWA
BREA, CA
NPI
1215049473
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 21683)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. DERICK TAKESHI TAGAWA DDS
230 S ORANGE AVE
BREA, CA 92821
Phone number: 714-990-5414
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Mailing Address
Dr. DERICK TAKESHI TAGAWA DDS
230 S ORANGE AVE
BREA, CA 92821
Phone number: 714-990-5414
Copy
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