Organization
HIDEKI IKEDA D.D.S., M.S., DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIDEKI IKEDA D.D.S. (DENTIST)
(714) 893-7539
Entity
Organization
Contact information
Practice address
12777 VALLEY VIEW ST.., SUITE 222, GARDEN GROVE, CA 92845
(714) 893-7539
(714) 893-6736
Mailing address
12777 VALLEY VIEW ST.., SUITE 222, GARDEN GROVE, CA 92845
(714) 893-7539
(714) 893-6736
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58404
CA
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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