DR. Alan M Takaki, D.D.S.

NPI #1306822556 in Pueblo, Colorado

Provider Information

NPI Number: 1306822556
Entity Type: Individual
Name: DR. Alan M Takaki, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 20, 2005
Last Updated: Jan 17, 2008

Practice Location

Address: 1630 FORTINO BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-1856
Phone: (719) 545-2468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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