G. Okamoto Dental Corporation
Dentist in Pasadena, CA. Organization (NPI-2).
NPI number1174875678
StatusActive
Last updated in NPPESOct 8, 2012
Details
- NPI
- 1174875678
- Entity type
- Organization (NPI-2)
- Legal business name
- G. Okamoto Dental Corporation
- Organization subpart
- No
- Enumeration date
- Oct 8, 2012
- Last updated
- Oct 8, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 44621 | CA | Yes |
Practice location
50 Bellefontaine St Ste 204Pasadena, CA 91105-3132
Phone 626-440-9095 · Fax 626-440-9231
Mailing address
50 Bellefontaine St Ste 204Pasadena, CA 91105-3132
Phone 626-440-9095 · Fax 626-440-9231
Authorized official
Geri Lynn Gunsalus Okamoto
President
6264409095
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