Tanaka, Takako
Tanaka, Takako is an individual health care provider with primary practice located at 3400 Civic Center Blvd 4Th Floor, South Pavilion, Philadelphia PA 19104-5127. She recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as her primary health care specialty. Tanaka, Takako can be contacted via phone (215) 662-3580.Contact Information
Primary practice address
3400 Civic Center Blvd 4Th Floor, South Pavilion
Philadelphia PA 19104-5127
Phone: (215) 662-3580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | DS0404707 | Pennsylvania |
Profile Details
| NPI number | 1649506577 |
|---|---|
| LBN Legal business name | Tanaka, Takako |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2009 |
| Last updated | Apr 4th, 2016 - about 9 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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