Dr. Brent M Furumoto, D.D.S
Dentist, General Practice in Diamond Bar, CA. Individual provider (NPI-1).
NPI number1760611685
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1760611685
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brent M Furumoto
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2009
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 55164 | CA | Yes |
| 122300000X | Dentist | 55164 | CA |
Practice location
21660 Copley Dr Ste 200Diamond Bar, CA 91765-4176
Phone 909-861-3515 · Fax 909-861-2795
Mailing address
21660 Copley Dr Ste 200Diamond Bar, CA 91765-4176
Phone 909-861-3515 · Fax 909-861-2795
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