Individual
DR. BRIAN HIROSHI KANEGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
777 S HAM LN, SUITE J, LODI, CA 95242-3591
(209) 333-8113
Mailing address
777 S HAM LN, SUITE J, LODI, CA 95242-3591
(209) 333-8113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
29817
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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