| Itano Dentistry | |
|
90 N Hudson Ave Pasadena CA 91101-1808 | |
| (626) 795-7698 | |
| (626) 795-2116 |
| Full Name | Itano Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 90 N Hudson Ave, Pasadena, California |
| Authorized Official Name and Position | Sadao Itano (DENTIST) |
| Authorized Official Contact | 6267957698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Itano Dentistry 90 N Hudson Ave Pasadena CA 91101-1808 Ph: (626) 795-7698 | Itano Dentistry 90 N Hudson Ave Pasadena CA 91101-1808 Ph: (626) 795-7698 |
| NPI Number | 1639358658 |
|---|---|
| Provider Enumeration Date | 10/26/2007 |
| Last Update Date | 10/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639358658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12560 (California) | Primary |
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