Organization
CLAYTON T. KODAMA, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAYTON TATSUO KODAMA D.D.S. (OWNER)
(559) 431-3806
Entity
Organization
Contact information
Practice address
7225 N 1ST ST, SUITE 107, FRESNO, CA 93720-2986
(559) 431-3806
(559) 431-6832
Mailing address
7225 N 1ST ST, SUITE 107, FRESNO, CA 93720-2986
(559) 431-3806
(559) 431-6832
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DF036165
CA
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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