Provider Demographics
NPI:1508076621
Name:MURAKAMI, KENNETH KIYOSHI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:KIYOSHI
Last Name:MURAKAMI
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 1:2320 REDONDO BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-1528
Mailing Address - Country:US
Mailing Address - Phone:310-323-6646
Mailing Address - Fax:310-323-4560
Practice Address - Street 1:2320 REDONDO BEACH BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-1528
Practice Address - Country:US
Practice Address - Phone:310-323-6646
Practice Address - Fax:310-323-4560
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36588122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist