Takaki, Alan M

Takaki, Alan M is an individual health care provider with primary practice located at 1630 Fortino Blvd , Pueblo CO 81008-1856. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Takaki, Alan M can be contacted via phone (719) 545-2468.

Contact Information

Primary practice address
1630 Fortino Blvd Pueblo CO 81008-1856
Phone: (719) 545-2468
Fax: (719) 545-0815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 00126 Colorado

Profile Details

NPI number 1306822556
LBN Legal business name Takaki, Alan M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jan 17th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306822556 NPPES
Colorado Other 722113 UNITED CONCORDIA
Colorado Other 78325 UNITED CONCORDIA

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