Kodama, Clayton Tatsuo

Kodama, Clayton Tatsuo is an individual health care provider with primary practice located at 7225 N First St # 107 , Fresno CA 93720-2964. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kodama, Clayton Tatsuo can be contacted via phone (559) 431-3806.

Contact Information

Primary practice address
7225 N First St # 107 Fresno CA 93720-2964
Phone: (559) 431-3806
Fax: (559) 431-6832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DF036165 California

Profile Details

NPI number 1174689129
LBN Legal business name Kodama, Clayton Tatsuo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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