| Chandra Kodey Dds, Inc | |
|
1702 Miramonte Ave A Mountain View CA 94040-3773 | |
| (650) 988-0700 | |
| Not Available |
| Full Name | Chandra Kodey Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1702 Miramonte Ave, Mountain View, California |
| Authorized Official Name and Position | Chandra Kodey (CEO) |
| Authorized Official Contact | 6502245891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandra Kodey Dds, Inc 1702 Miramonte Ave A Mountain View CA 94040-3773 Ph: (650) 988-0700 | Chandra Kodey Dds, Inc 1702 Miramonte Ave A Mountain View CA 94040-3773 Ph: (650) 988-0700 |
| NPI Number | 1942540182 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 02/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942540182 | NPI | - | NPPES |
| 1790956621 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55471 (California) | Primary |
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