| Jon Y Hatakeyama Dds Inc | |
|
370 W Dunne Avenue Suite 3 Morgan Hill CA 95037-4846 | |
| (408) 779-7391 | |
| (408) 779-5081 |
| Full Name | Jon Y Hatakeyama Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 370 W Dunne Avenue, Morgan Hill, California |
| Authorized Official Name and Position | Shelley Midori Hatakeyama (CORP SECRETARY) |
| Authorized Official Contact | 4084642058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Y Hatakeyama Dds Inc 370 W Dunne Avenue Suite 3 Morgan Hill CA 95037-4846 Ph: (408) 779-7391 | Jon Y Hatakeyama Dds Inc 370 W Dunne Avenue Suite 3 Morgan Hill CA 95037-4846 Ph: (408) 779-7391 |
| NPI Number | 1821212895 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821212895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22894 (California) | Primary |
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