Provider Demographics
NPI:1235220021
Name:KOBASHIGAWA, DON KAROU (DDS)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:KAROU
Last Name:KOBASHIGAWA
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 1:4405 W RIVERSIDE DR
Mailing Address - Street 2:STE 300
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4072
Mailing Address - Country:US
Mailing Address - Phone:818-846-3831
Mailing Address - Fax:818-846-2348
Practice Address - Street 1:4405 W RIVERSIDE DR
Practice Address - Street 2:STE 300
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4072
Practice Address - Country:US
Practice Address - Phone:818-846-3831
Practice Address - Fax:818-846-2348
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA287411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice