KIMIKO AGARI
Individual Provider (NPI-1)
Active
Oral & Maxillofacial Surgery
Provider Information
- NPI Number
1043665219- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1200 N STATE ST, LOS ANGELES, CA, 900891001
- Phone
- (209) 482-7872
Specialties & Taxonomies
Oral & Maxillofacial Surgery
Primary License: CA #DDS100623
Student in an Organized Health Care Education/Training Program
All Addresses
MAILING
6213 EMBARCADERO DR
STOCKTON, CA, 952193823