Provider Demographics
NPI:1437440617
Name:KAJIKAWA, NORMAN M (DDS)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:M
Last Name:KAJIKAWA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NORMAN
Other - Middle Name:M
Other - Last Name:KAJIKAWA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15200 S. PRAIRE AVE.
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260
Mailing Address - Country:US
Mailing Address - Phone:310-973-5859
Mailing Address - Fax:
Practice Address - Street 1:15200 PRAIRIE AVE
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2211
Practice Address - Country:US
Practice Address - Phone:310-973-5859
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23625122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist