| Organization Name: | GEN OHKAWA DDS PLLC |
| NPI Number: | 1326432949 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEN OHKAWA (OWNER) |
| Mailing Address: | 33 Route 32a Saugerties |
| State: | NY US |
| Postal Code: | 124773711 |
| Phone Number: | 5186783111 |
| Fax Number: | 5186781137 |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 06/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 054989 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |