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Organization
KEITH KANEGAWA, DMD PROFESSIONAL DENTAL CORPORATION
Active
Organization
KEITH KANEGAWA, DMD PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH KANEGAWA DMD (DENTIST)
(209) 369-3114
Entity
Organization
Contact information
Practice address
600 S FAIRMONT AVE, LODI, CA 95240-3835
(209) 369-3114
Mailing address
600 S FAIRMONT AVE, LODI, CA 95240-3835
(209) 369-3114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29318
CA
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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