Provider Demographics
NPI:1023673019
Name:NONAKA, ANNA TU-ANH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:TU-ANH
Last Name:NONAKA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 N GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-3547
Mailing Address - Country:US
Mailing Address - Phone:626-284-5113
Mailing Address - Fax:626-284-6415
Practice Address - Street 1:157 N GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-3547
Practice Address - Country:US
Practice Address - Phone:626-284-5113
Practice Address - Fax:626-284-6415
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-05
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104910122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist