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1164588737
KEITH S KODAMA
TUSTIN, CA
NPI
1164588737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 32646)
Enumeration Date
2006-12-28
Last Update Date
2007-07-08
Business Address
Dr. KEITH S KODAMA D.D.S.
14213 RED HILL AVE
TUSTIN, CA 92780-5835
Phone number: 714-832-8220
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Mailing Address
Dr. KEITH S KODAMA D.D.S.
14213 RED HILL AVE
TUSTIN, CA 92780-5835
Phone number: 714-832-8220
Copy
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