Provider Demographics
NPI:1568113520
Name:ERIKA TAKANAMI, DDS, PLLC
Entity Type:Organization
Organization Name:ERIKA TAKANAMI, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAKANAMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:319-471-7683
Mailing Address - Street 1:1220 LOUISE ST
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-2505
Mailing Address - Country:US
Mailing Address - Phone:319-471-7683
Mailing Address - Fax:
Practice Address - Street 1:3205 NE 78TH ST STE 11
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-0697
Practice Address - Country:US
Practice Address - Phone:360-576-3570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty