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Individual
REX Y KIDO
Active
Individual
REX Y KIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33601
CA
1223G0001X
General Practice Dentistry
33601
CA
Other
Enumeration date
04/13/2006
Last updated
07/13/2007
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