IndividualActive
Azusa Kuwashima
NPI 1801567441 · Orofacial Pain Dentistry · Southlake, TX
Provider details
- NPI number
- 1801567441
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 37400 (TX)
Practice location
630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Phone: (817) 251-9985
Mailing address
630 N Kimball Ave Ste 110
Southlake, TX 76092-6887
Registry dates
- Enumerated
- 2021-09-23
- Last updated
- 2021-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.