Provider Demographics
NPI:1346361854
Name:RAY KUWAHARA,D.D.S.,INC
Entity type:Organization
Organization Name:RAY KUWAHARA,D.D.S.,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAY
Authorized Official - Middle Name:
Authorized Official - Last Name:KUWAHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-378-8342
Mailing Address - Street 1:3655 LOMITA BLVD STE 217
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3958
Mailing Address - Country:US
Mailing Address - Phone:310-378-8342
Mailing Address - Fax:310-378-4672
Practice Address - Street 1:3655 LOMITA BLVD STE 217
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3958
Practice Address - Country:US
Practice Address - Phone:310-378-8342
Practice Address - Fax:310-378-4672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA199191223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty