Provider Demographics
NPI:1700044823
Name:TANAKA, JAMES YONEO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YONEO
Last Name:TANAKA
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 1:11368 SAN PABLO AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-2135
Mailing Address - Country:US
Mailing Address - Phone:510-233-3547
Mailing Address - Fax:510-233-3277
Practice Address - Street 1:11368 SAN PABLO AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-2135
Practice Address - Country:US
Practice Address - Phone:510-233-3547
Practice Address - Fax:510-233-3277
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA180321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice