Tagawa, Derick Takeshi
Tagawa, Derick Takeshi is an individual health care provider with primary practice located at 230 S Orange Ave , Brea CA 92821. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Tagawa, Derick Takeshi can be contacted via phone (714) 990-5414.Contact Information
Primary practice address
230 S Orange Ave
Brea CA 92821
Phone: (714) 990-5414
Fax: (714) 990-9489
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 21683 | California |
Profile Details
| NPI number | 1215049473 |
|---|---|
| LBN Legal business name | Tagawa, Derick Takeshi |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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