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Individual
DR. KOREN I T IKEDA
Active
Individual
DR. KOREN I T IKEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOCTOR OF DENTAL MED
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
34347
CA
1223G0001X
General Practice Dentistry
Primary
34347
CA
Other
Enumeration date
03/26/2007
Last updated
07/18/2022
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