Provider Demographics
NPI:1447380464
Name:ARAKAKI, LANCE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LANCE
Middle Name:
Last Name:ARAKAKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4723 W ADDISYN CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9151
Mailing Address - Country:US
Mailing Address - Phone:559-737-0911
Mailing Address - Fax:
Practice Address - Street 1:4723 W ADDISYN CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9151
Practice Address - Country:US
Practice Address - Phone:559-737-0911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2012-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA350671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice