Provider Demographics
NPI:1114206562
Name:KAIHARA, GARY GEORGE (DDS)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:GEORGE
Last Name:KAIHARA
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 1:2440 M STREET, NW
Mailing Address - Street 2:SUITE 610
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1404
Mailing Address - Country:US
Mailing Address - Phone:202-466-3333
Mailing Address - Fax:202-466-4155
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 610
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1404
Practice Address - Country:US
Practice Address - Phone:202-466-3333
Practice Address - Fax:202-466-4155
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDEN38891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice