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Organization
G. OKAMOTO DENTAL CORPORATION
Active
Organization
G. OKAMOTO DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERI LYNN GUNSALUS OKAMOTO DDS (PRESIDENT)
(626) 440-9095
Entity
Organization
Contact information
Practice address
50 BELLEFONTAINE ST STE 204, PASADENA, CA 91105-3132
(626) 440-9095
(626) 440-9231
Mailing address
50 BELLEFONTAINE ST STE 204, PASADENA, CA 91105-3132
(626) 440-9095
(626) 440-9231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44621
CA
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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