Provider Demographics
NPI:1063626042
Name:SONODA, LINDA KIMIKO (DDS)
Entity type:Individual
Prefix:DR
First Name:LINDA
Middle Name:KIMIKO
Last Name:SONODA
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 1:13412 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-3142
Mailing Address - Country:US
Mailing Address - Phone:562-945-8558
Mailing Address - Fax:562-945-8559
Practice Address - Street 1:13412 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-3142
Practice Address - Country:US
Practice Address - Phone:562-945-8558
Practice Address - Fax:562-945-8559
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA339951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice