| Clayton T. Kodama, Dds, Inc. | |
|
7225 N 1st St Suite 107 Fresno CA 93720-2986 | |
| (559) 431-3806 | |
| (559) 431-6832 |
| Full Name | Clayton T. Kodama, Dds, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 7225 N 1st St, Fresno, California |
| Authorized Official Name and Position | Clayton Tatsuo Kodama (OWNER) |
| Authorized Official Contact | 5594313806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clayton T. Kodama, Dds, Inc. 7225 N 1st St Suite 107 Fresno CA 93720-2986 Ph: (559) 431-3806 | Clayton T. Kodama, Dds, Inc. 7225 N 1st St Suite 107 Fresno CA 93720-2986 Ph: (559) 431-3806 |
| NPI Number | 1942692579 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942692579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DF036165 (California) | Primary |
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