Alan M Takaki Takaki Dental Care Center

NPI #1841561024 in Pueblo, Colorado

Provider Information

NPI Number: 1841561024
Entity Type: Organization
Organization Name: Alan M Takaki Takaki Dental Care Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 20, 2012
Last Updated: Jan 20, 2012

Practice Location

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

Authorized Official

Name: ALAN M TAKAKI, DDS
Title: OWNER
Phone: (719) 545-2468

Specialties & Taxonomy Codes

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

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