| Organization Name: | ALAN P. KAWAKAMI, DDS, PC |
| NPI Number: | 1063779841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALAN PAUL KAWAKAMI (ORTHODONTIST) |
| Mailing Address: | 2700 E Fry Blvd Suite B-9 Sierra Vista |
| State: | AZ US |
| Postal Code: | 856352826 |
| Phone Number: | 5204591600 |
| Fax Number: | 5204595763 |
| NPI Enumeration Date: | 04/18/2012 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 2044 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |