Provider Demographics
NPI:1437407855
Name:KAUTZ, FABIANA YURI OZAKI (DDS)
Entity type:Individual
Prefix:DR
First Name:FABIANA
Middle Name:YURI OZAKI
Last Name:KAUTZ
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15350 HANOVER CT
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-5642
Mailing Address - Country:US
Mailing Address - Phone:415-298-3141
Mailing Address - Fax:
Practice Address - Street 1:12899 QUEBEC ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80602-9623
Practice Address - Country:US
Practice Address - Phone:720-726-6830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-15
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6977-151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice