DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH S KODAMA, D.D.S.

Active Sole Proprietor

DR. KEITH S KODAMA, D.D.S. is a Dentist healthcare provider located in TUSTIN, California. NPI 1164588737 is currently active in the NPPES registry. Verify at CMS.

Dentist · TUSTIN, CA

Registration Details

NPI Number
1164588737
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2006 (19.627169004634 yrs)
Last Updated
Jul 8, 2007
License
32646 (CA)
Sole Proprietor
Yes

Practice Information

Address
14213 RED HILL AVE
TUSTIN, CA, 927805835
Browse CA providers · Browse ZIP 92780
Phone
7148328220
Primary Specialty
Dentist
122300000X

Other Dentist Providers in TUSTIN, CA

Name Credential NPI
MASOUD ARAM DDS 1285694695
DR. CHARLES E STIREWALT DMD 1184679649
DR. NAZ HAQUE DDS 1083632376
DR. MICHAEL D COOPER DDS 1053327320
NGUYENKHANH D VU D.D.S. 1386733103
DR. PO-YUN WU D.D.S. 1497837140
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.