Provider Demographics
NPI:1306062682
Name:FURUKAWA, RIKA (DDS)
Entity type:Individual
Prefix:DR
First Name:RIKA
Middle Name:
Last Name:FURUKAWA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RIKA
Other - Middle Name:
Other - Last Name:FURUKAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1107 GRAND ST
Mailing Address - Street 2:#4
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-2261
Mailing Address - Country:US
Mailing Address - Phone:201-240-6327
Mailing Address - Fax:212-355-7617
Practice Address - Street 1:230 E 48TH ST
Practice Address - Street 2:SUITE 1-C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1509
Practice Address - Country:US
Practice Address - Phone:212-355-7616
Practice Address - Fax:212-355-7617
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046950-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist