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Stephen J Ikemiya, DDS

Dentist, General Practice in Monterey, CA. Individual provider (NPI-1).

NPI number1801232178
StatusActive
Last updated in NPPESSep 18, 2015

Details

NPI
1801232178
Entity type
Individual (NPI-1)
Name
Stephen J Ikemiya
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
May 14, 2013
Last updated
Sep 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice38543CAYes

Practice location

333 El Dorado St
Monterey, CA 93940-4606

Phone 831-373-3068

Mailing address

333 El Dorado St
Monterey, CA 93940-4606

Phone 831-373-3068

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