Organization
VICKI E. OKAMOTO, D.D.S., M.S., INC.
Active
Other names
Okamoto Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI E. OKAMOTO D.D.S., M.S. (PRESIDENT)
(714) 546-5170
Entity
Organization
Contact information
Practice address
1530 BAKER ST, SUITE C, COSTA MESA, CA 92626-3752
(714) 546-5170
(714) 546-9411
Mailing address
1530 BAKER ST, SUITE C, COSTA MESA, CA 92626-3752
(714) 546-5170
(714) 546-9411
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
41503
CA
Other
Enumeration date
04/23/2007
Last updated
04/08/2009
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