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Keith Kanegawa, Dmd Professional Dental Corporation
General Practice Dentistry in Lodi, California
NPI 1538181425

Keith Kanegawa, Dmd Professional Dental Corporation is a General Practice Dentistry based in Lodi, CA and is specialized in General Practice. Keith Kanegawa, Dmd Professional Dental Corporation practices in Lodi, CA. The NPI Number for Keith Kanegawa, Dmd Professional Dental Corporation is 1538181425 and holds a License No. 29318 (California).

The current practice location address for Keith Kanegawa, Dmd Professional Dental Corporation is 600 S Fairmont Ave, Lodi, CA and can be reached out via phone at 209-369-3114.

Location: 600 S Fairmont Ave, Lodi, CA, 95240-3835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538181425
Provider Name
Keith Kanegawa, Dmd Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
600 S Fairmont Ave, Lodi, CA, 95240-3835
Phone Number
209-369-3114
Fax Number
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
600 S Fairmont Ave
City
Lodi
State
California
Zip
95240-3835
Phone Number
209-369-3114
Fax Number
person
Provider Business Mailing Address Details
Address
600 S Fairmont Ave
City
Lodi
State
California
Zip
95240-3835
Phone Number
209-369-3114
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
29318 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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