| Wayne Kodama Dds | |
|
1275 W Shaw Ave Ste 101 Fresno CA 93711-3710 | |
| (559) 229-3201 | |
| Not Available |
| Full Name | Wayne Kodama Dds |
|---|---|
| Speciality | Dentist |
| Location | 1275 W Shaw Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Susan Kodama (MANAGER) |
| Authorized Official Contact | 5592293201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne Kodama Dds 1275 W Shaw Ave Ste 101 Fresno CA 93711-3710 Ph: (559) 229-3201 | Wayne Kodama Dds 1275 W Shaw Ave Ste 101 Fresno CA 93711-3710 Ph: (559) 229-3201 |
| NPI Number | 1861873465 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861873465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 38861 (California) | Primary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |