MELVIN H TAKAKI

SANTA FE, NM
NPI1588739916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NM  DD2104)
Enumeration Date2006-11-21
Last Update Date2007-07-09
Business Address
MELVIN H TAKAKI
2008 SAINT MICHAELS DR #B
SANTA FE, NM 87505-7682
Phone number: 505-474-4993
Mailing Address
MELVIN H TAKAKI
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-583-1800