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Organization

CHANDRA KODEY DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHANDRA KODEY DDS (CEO)
(650) 224-5891
Entity
Organization

Contact information

Practice address
1702 MIRAMONTE AVE, A, MOUNTAIN VIEW, CA 94040-3773
(650) 988-0700
Mailing address
1702 MIRAMONTE AVE, A, MOUNTAIN VIEW, CA 94040-3773
(650) 988-0700

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55471
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790956621
CA
Enumeration date
02/26/2013
Last updated
02/26/2013
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