| Kenneth S. Masumoto Dds Inc | |
|
430 W. Shaw Fresno CA 93704 | |
| (559) 229-1806 | |
| (559) 229-5953 |
| Full Name | Kenneth S. Masumoto Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 430 W. Shaw, Fresno, California |
| Authorized Official Name and Position | Kenneth Sadao Masumoto (PRESIDENT) |
| Authorized Official Contact | 5592291806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth S. Masumoto Dds Inc 430 W. Shaw Fresno CA 93704 Ph: (559) 229-1806 | Kenneth S. Masumoto Dds Inc 430 W. Shaw Fresno CA 93704 Ph: (559) 229-1806 |
| NPI Number | 1811147796 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811147796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14139 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 14139 (California) | Secondary |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |