| G. Okamoto Dental Corporation | |
|
50 Bellefontaine St Ste 204 Pasadena CA 91105-3132 | |
| (626) 440-9095 | |
| (626) 440-9231 |
| Full Name | G. Okamoto Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 50 Bellefontaine St Ste 204, Pasadena, California |
| Authorized Official Name and Position | Geri Lynn Gunsalus Okamoto (PRESIDENT) |
| Authorized Official Contact | 6264409095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Okamoto Dental Corporation 50 Bellefontaine St Ste 204 Pasadena CA 91105-3132 Ph: (626) 440-9095 | G. Okamoto Dental Corporation 50 Bellefontaine St Ste 204 Pasadena CA 91105-3132 Ph: (626) 440-9095 |
| NPI Number | 1174875678 |
|---|---|
| Provider Enumeration Date | 10/08/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174875678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 44621 (California) | Primary |
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