| NPI | 1841561024 |
|---|---|
| Former Legal Business Name | TAKAKI DENTAL CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN M TAKAKI Owner 719-545-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 126) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |