Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KOREN I T IKEDA, DOCTOR OF DENTAL MED
ActiveDR. KOREN I T IKEDA, DOCTOR OF DENTAL MED is a General Dentistry healthcare provider located in STATON, California. NPI 1184742744 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · STATON, CA
Registration Details
- NPI Number
- 1184742744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 26, 2007 (19.376890453399 yrs)
- Last Updated
- Jul 18, 2022
- Licenses
-
34347 (CA)34347 (CA)
Practice Information
- Address
-
7092 KATELLA AVE.STATON, CA, 906805179Browse CA providers · Browse ZIP 90680
- Phone
- 7147610564
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
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.