Dai Kitamura
Dentist in Rosemead, CA. Individual provider (NPI-1).
NPI number1356760169
StatusActive
Last updated in NPPESSep 7, 2016
Details
- NPI
- 1356760169
- Entity type
- Individual (NPI-1)
- Name
- Dai Kitamura
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2014
- Last updated
- Sep 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 62911 | CA | Yes |
Practice location
1300 Potrero Grande Drive #cRosemead, CA 91770-2254
Phone 626-288-1139
Mailing address
18229 Dusk StreetRowland Heights, CA 91748
Phone 626-991-1121
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Dentist providers in Rosemead · All 1,136 providers in Rosemead
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