Provider Demographics
NPI:1891027140
Name:KAGIHARA, LYNETTE EMIKO (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNETTE
Middle Name:EMIKO
Last Name:KAGIHARA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 J ST
Mailing Address - Street 2:UOP UNION CITY DENTAL CARE CENTER
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3331
Mailing Address - Country:US
Mailing Address - Phone:510-477-2311
Mailing Address - Fax:510-471-2513
Practice Address - Street 1:1203 J ST
Practice Address - Street 2:UOP UNION CITY DENTAL CARE CENTER
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-3331
Practice Address - Country:US
Practice Address - Phone:510-477-2311
Practice Address - Fax:510-471-2513
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2010-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA226261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice