Individual
DR. DARRELL TAKEOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
300 SIERRA COLLEGE DR, #110, GRASS VALLEY, CA 95945-5082
(530) 272-6312
(530) 272-5885
Mailing address
300 SIERRA COLLEGE DR, #110, GRASS VALLEY, CA 95945-5082
(530) 272-6312
(530) 272-5885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30947
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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