| Theodore R. Okazaki Dds, Inc | |
|
3950 Stevenson Place #219 Fremont CA 94539 | |
| (510) 794-9999 | |
| (510) 797-7460 |
| Full Name | Theodore R. Okazaki Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3950 Stevenson Place, Fremont, California |
| Authorized Official Name and Position | Theodore R. Okazaki (OWNER) |
| Authorized Official Contact | 5107949999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore R. Okazaki Dds, Inc 3950 Stevenson Place #219 Fremont CA 94539 Ph: (510) 794-9999 | Theodore R. Okazaki Dds, Inc 3950 Stevenson Place #219 Fremont CA 94539 Ph: (510) 794-9999 |
| NPI Number | 1801918990 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801918990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 37717 (California) | Primary |
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