| Fred H. Matsumoto D.d.s., Inc. | |
|
11416 South St Cerritos CA 90703-6611 | |
| (562) 860-5597 | |
| (562) 809-1947 |
| Full Name | Fred H. Matsumoto D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11416 South St, Cerritos, California |
| Authorized Official Name and Position | Fred Hiroshi Matsumoto (PRESIDENT) |
| Authorized Official Contact | 5628605597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fred H. Matsumoto D.d.s., Inc. 11416 South St Cerritos CA 90703-6611 Ph: (562) 860-5597 | Fred H. Matsumoto D.d.s., Inc. 11416 South St Cerritos CA 90703-6611 Ph: (562) 860-5597 |
| NPI Number | 1407063852 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407063852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 19932 (California) | Primary |
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