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1588739916
MELVIN H TAKAKI
SANTA FE, NM
NPI
1588739916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NM DD2104)
Enumeration Date
2006-11-21
Last Update Date
2007-07-09
Business Address
MELVIN H TAKAKI
2008 SAINT MICHAELS DR #B
SANTA FE, NM 87505-7682
Phone number: 505-474-4993
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Mailing Address
MELVIN H TAKAKI
415 N GRAND AVE
PUEBLO, CO 81003-3111
Phone number: 719-583-1800
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