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NPI Code Detail

MEDICARE: MR. ALAN N AOKI DDS

MEDICARE: MR. ALAN N AOKI 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
1122300000XDentist143784-9923UT

General Provider Information

NPI Number : 1508961327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALAN N AOKI DDS
Provider Business Mailing Address
First Line : 1756 KENWOOD CIR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3745
Country : US
Telephone Number : 801-556-2324
Fax Number :
Provider Business Practice Location Address
First Line : 1365 W 1000 N
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84116-1654
Country : US
Telephone Number : 801-328-5756
Fax Number : 801-521-7463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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