| Walter Y. Kitajima, D.d.s., Inc. | |
|
4549 Mattos Dr Fremont CA 94536-6736 | |
| (510) 792-6690 | |
| Not Available |
| Full Name | Walter Y. Kitajima, D.d.s., Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4549 Mattos Dr, Fremont, California |
| Authorized Official Name and Position | Walter Kitajima (PRESIDENT) |
| Authorized Official Contact | 5107926690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Y. Kitajima, D.d.s., Inc. 4549 Mattos Dr Fremont CA 94536-6736 Ph: (510) 792-6690 | Walter Y. Kitajima, D.d.s., Inc. 4549 Mattos Dr Fremont CA 94536-6736 Ph: (510) 792-6690 |
| NPI Number | 1093933608 |
|---|---|
| Provider Enumeration Date | 04/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093933608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D 20213 (California) | Primary |
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