Wayne Kodama DDS
Wayne Kodama DDS provides Dentist services in Fresno, California. Licensed in California. Registered with an NPI since 2015.
- Licensed in
- CA
- In the registry since
- 2015
Practice location Address checks out
1275 W Shaw Ave Ste 101Fresno, CA 93711-3710 Not confirmed with CMS for 11 years — call before visiting
Phone: (559) 229-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 38861 (CA) |
|---|
Record details
| NPI number | 1861873465 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Kodama — Manager · (559) 229-3201 |
| NPI enumerated | June 9, 2015 |
| Last updated in NPPES | June 9, 2015 |
| Mailing address | 1275 W Shaw Ave Ste 101, Fresno, CA 93711-3710 |
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