Individual
DR. CRAIG KENJI OTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2 OSBORN ST STE 140, IRVINE, CA 92604-8656
(949) 525-2522
(949) 857-2079
Mailing address
2 OSBORN ST STE 140, IRVINE, CA 92604-8656
(949) 525-2522
(949) 857-2079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19948
CA
Other
Enumeration date
05/08/2007
Last updated
05/10/2010
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