Provider Demographics
NPI:1912259201
Name:URITANI, NAKAKO (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAKAKO
Middle Name:
Last Name:URITANI
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 1:2640 TELEGRAPH AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-3322
Mailing Address - Country:US
Mailing Address - Phone:510-848-6494
Mailing Address - Fax:
Practice Address - Street 1:2640 TELEGRAPH AVE STE 101
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-3322
Practice Address - Country:US
Practice Address - Phone:510-848-6494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA613251223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry