| S Dan Koyama Dds Inc | |
|
5591 E Santa Ana Canyon Road Anaheim CA 92807-3149 | |
| (714) 974-4202 | |
| (714) 974-3448 |
| Full Name | S Dan Koyama Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 5591 E Santa Ana Canyon Road, Anaheim, California |
| Authorized Official Name and Position | Shizuka Koyama (PRESIDENT) |
| Authorized Official Contact | 7149744202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Dan Koyama Dds Inc Po Box 17668 Anaheim CA 92817-7668 Ph: () - | S Dan Koyama Dds Inc 5591 E Santa Ana Canyon Road Anaheim CA 92807-3149 Ph: (714) 974-4202 |
| NPI Number | 1144379421 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144379421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 27444 (California) | Primary |
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