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. |
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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 |
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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 |
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Provider Enumeration Date | 05/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1407063852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 19932 (California) | Primary |
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