Individual
MR. GARY K KANEMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1930 TIENDA DR, SUITE 103, LODI, CA 95242-3933
(209) 333-2688
(209) 333-2377
Mailing address
1930 TIENDA DR, SUITE 103, LODI, CA 95242-3933
(209) 333-2688
(209) 333-2377
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
29960
CA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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