Individual
TED M NAKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4747 NORTH FIRST STREET, SUITE 128, FRESNO, CA 93726-0516
(559) 224-8747
(559) 224-3698
Mailing address
4747 NORTH FIRST STREET, SUITE 128, FRESNO, CA 93726-0516
(559) 224-8747
(559) 224-3698
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
16018
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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