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Contact Information

YASUNORI TAKENAKA, DDS
590 S. MARINE CORPS DR. SUITE 104, ITC BLDG
TAMUNING, GU96913
 Phone: 671-649-7851
 Fax: 671-649-7853
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for YASUNORI TAKENAKA · (Male)

NPI # 1376705129
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/01/2008
Last updated 07/01/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • GU License # 994
  • GU Other 994-969133555 DELTA DENTAL
  • GU Other 1651883 UNITED CONCORDIA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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