Individual
DR. HIDEKI IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
12777 VALLEY VIEW ST STE 222, GARDEN GROVE, CA 92845-2522
(714) 893-7539
Mailing address
12777 VALLEY VIEW ST STE 222, GARDEN GROVE, CA 92845-2522
(714) 893-7539
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
58404
CA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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