Individual
AIKO KONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
828 S MOONEY BLVD, VISALIA, CA 93277-2212
(559) 802-4300
Mailing address
1245 N WOODLAND ST APT 101, VISALIA, CA 93291-4788
(216) 218-7614
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
104395
CA
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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