Provider Demographics
NPI:1245347830
Name:HIRASUNA, ALAN TOSHIO (DDS)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:TOSHIO
Last Name:HIRASUNA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 LAS POSAS RD
Mailing Address - Street 2:#203
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010
Mailing Address - Country:US
Mailing Address - Phone:804-484-2010
Mailing Address - Fax:805-484-2039
Practice Address - Street 1:3801 LAS POSAS RD
Practice Address - Street 2:#203
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:804-484-2010
Practice Address - Fax:805-484-2039
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA305351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice