Individual provider · Type 1 NPI

Gary Noriaki Kitazawa, DDS

Periodontics · Los Angeles, CA

NPI number 1972695864 Active

Practice location

1127 Wilshire Blvd, Suite 404
Los Angeles, CA 90017-3901

Call (213) 481-1127 Map

Fax (213) 481-1510

Mailing address

1127 Wilshire Blvd., Suite 404
Los Angeles, CA 90017-3905

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X23000 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1972695864

Gary Noriaki Kitazawa, DDS's National Provider Identifier is 1972695864, issued on Sep 28, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.