Provider Demographics
NPI:1740367309
Name:KOBAYAKAWA, YOKO (DDS)
Entity type:Individual
Prefix:DR
First Name:YOKO
Middle Name:
Last Name:KOBAYAKAWA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S ATLANTIC BLVD # A
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-3817
Mailing Address - Country:US
Mailing Address - Phone:626-458-0005
Mailing Address - Fax:
Practice Address - Street 1:617 S ATLANTIC BLVD # A
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-3817
Practice Address - Country:US
Practice Address - Phone:626-458-0005
Practice Address - Fax:626-458-6642
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41099122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist