Provider Demographics
NPI:1063500213
Name:KAWAI, BRIAN AKIRA (DDS)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:AKIRA
Last Name:KAWAI
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 1:652 SILVER SPUR RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3602
Mailing Address - Country:US
Mailing Address - Phone:310-377-2223
Mailing Address - Fax:
Practice Address - Street 1:652 SILVER SPUR RD
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3602
Practice Address - Country:US
Practice Address - Phone:310-377-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice