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NPI Code Detail

MEDICARE: DR. SHAWN TOKUNAGA DDS

MEDICARE: DR. SHAWN TOKUNAGA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryIL

General Provider Information

NPI Number : 1780762955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHAWN TOKUNAGA DDS
Provider Business Mailing Address
First Line : 7 E GOLF RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4001
Country : US
Telephone Number : 847-290-0222
Fax Number : 847-290-0225
Provider Business Practice Location Address
First Line : 7 E GOLF RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-4001
Country : US
Telephone Number : 847-290-0222
Fax Number : 847-290-0225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2007

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