Provider Demographics
NPI:1083714638
Name:ARAKAKI, GEORGE J (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:ARAKAKI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15751 BROOKHURST ST
Mailing Address - Street 2:SUITE 129
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-7501
Mailing Address - Country:US
Mailing Address - Phone:714-531-7130
Mailing Address - Fax:714-775-8743
Practice Address - Street 1:15751 BROOKHURST ST
Practice Address - Street 2:SUITE 129
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-7501
Practice Address - Country:US
Practice Address - Phone:714-531-7130
Practice Address - Fax:714-775-8743
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA187741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice