Provider Demographics
NPI:1942391909
Name:KOBAYASHI, JAMES YOSHITATSU (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:YOSHITATSU
Last Name:KOBAYASHI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 DIABLO RD
Mailing Address - Street 2:SUITE 245
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3443
Mailing Address - Country:US
Mailing Address - Phone:925-820-1221
Mailing Address - Fax:925-820-1910
Practice Address - Street 1:318 DIABLO RD
Practice Address - Street 2:SUITE 245
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3443
Practice Address - Country:US
Practice Address - Phone:925-820-1221
Practice Address - Fax:925-820-1910
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA216001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice