Whalio Doctors

NPI 1003266164

Yasufumi Yamazaki, DDS

Practitioner Dentist Colorado Springs, CO

Practice location

Address
2436 S Academy Blvd, Colorado Springs, CO 80916-2408
Phone
(719) 331-2336
Fax
(719) 391-1625
Mailing address
2221 E Bijou St STE 100, Colorado Springs, CO 80909-8009

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence DEN.00203512 (CO)
Dentist
Dental Providers Taxonomy 122300000X Licence DD4531 (NM)

Registry record

NPI
1003266164
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jun 2016
Record last updated
13 Jun 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.