TAKAKO TANAKA, DDS

Oral & Maxillofacial Surgery

Active Individual
NPI: 1649506577

Practice Address

3400 CIVIC CENTER BLVD
4TH FLOOR, SOUTH PAVILION
Philadelphia, PA 19104

Phone: (215) 662-3580

Specialties

Specialty Code Primary License
Oral & Maxillofacial Surgery 204E00000X Yes DS0404707 (PA)

Frequently Asked Questions

NPI 1649506577 is the National Provider Identifier for TAKAKO TANAKA, DDS, a Oral & Maxillofacial Surgery provider located in Philadelphia, PA. This NPI was enumerated on October 28, 2009.
TAKAKO TANAKA, DDS practices at 3400 CIVIC CENTER BLVD, 4TH FLOOR, SOUTH PAVILION, Philadelphia, PA 19104.

Quick Facts

NPI
1649506577
Type
Individual
Enumerated
Oct 28, 2009
Last Updated
Apr 4, 2016

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