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1043227119
KEITH KANEGAWA
LODI, CA
NPI
1043227119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 29318)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
-- KEITH KANEGAWA DMD
600 S FAIRMONT AVE
LODI, CA 95240-3835
Phone number: 209-369-3114
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Mailing Address
-- KEITH KANEGAWA DMD
600 S FAIRMONT AVE
LODI, CA 95240-3835
Phone number: 209-369-3114
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