Provider Demographics
NPI:1952035412
Name:ARAKAKI, ISAAC ANDREW (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:ANDREW
Last Name:ARAKAKI
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 1:11256 E CONTESSA ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1708
Mailing Address - Country:US
Mailing Address - Phone:360-932-6957
Mailing Address - Fax:
Practice Address - Street 1:11256 E CONTESSA ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-1708
Practice Address - Country:US
Practice Address - Phone:360-932-6957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011497122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist