| Kawata Dental Inc. | |
|
12211 W Pico Blvd Los Angeles CA 90064-1134 | |
| (310) 826-6123 | |
| Not Available |
| Full Name | Kawata Dental Inc. |
|---|---|
| Speciality | Dentist |
| Location | 12211 W Pico Blvd, Los Angeles, California |
| Authorized Official Name and Position | Ben R Kawata (PRESIDENT) |
| Authorized Official Contact | 3108266123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kawata Dental Inc. 12211 W Pico Blvd Los Angeles CA 90064-1134 Ph: (310) 826-6123 | Kawata Dental Inc. 12211 W Pico Blvd Los Angeles CA 90064-1134 Ph: (310) 826-6123 |
| NPI Number | 1164679809 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164679809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 36948 (California) | Primary |
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