Individual provider · Type 1 NPI
Koren I. T. Ikeda, DOCTOR OF DENTAL MED
General Practice Dentistry · Staton, CA
NPI number
1184742744
Active
Practice location
7092 Katella Ave.
Staton, CA 90680-5179
Mailing address
P.o. Box 284
Stanton, CA 90680-5179
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 34347 (CA) |
| General Practice Dentistry Primary | 1223G0001X | 34347 (CA) |
General Practice Dentistry: 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.
Another provider at this address
About NPI 1184742744
Koren I. T. Ikeda, DOCTOR OF DENTAL MED's National Provider Identifier is 1184742744, issued on Mar 26, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Staton, CA. The record was last updated on Jul 18, 2022.