MEDICARE: DR. DARIN K KAJIOKA D.D.S.

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
1	1223E0200X	Endodontics	S7-22	NV

General Provider Information

NPI Number	:	1417011222
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARIN K KAJIOKA D.D.S.

Provider Business Mailing Address
First Line	:	9750 COVINGTON CROSS DR STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-7046
Country	:	US
Telephone Number	:	702-878-8584
Fax Number	:	702-877-9210

Provider Business Practice Location Address
First Line	:	9750 COVINGTON CROSS DR STE 150
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-7046
Country	:	US
Telephone Number	:	702-878-8584
Fax Number	:	702-877-9210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	07/08/2007

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