Dr. Robert T. Kimura, DMD
Dentist, General Practice in Los Angeles, CA. Individual provider (NPI-1).
NPI number1891024550
StatusActive
Last updated in NPPESDec 9, 2009
Details
- NPI
- 1891024550
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert T. Kimura
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 9, 2009
- Last updated
- Dec 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 34507 | CA | Yes |
Practice location
11980 San Vicente Blvd Ste 500Los Angeles, CA 90049-6603
Phone 310-207-6111 · Fax 310-207-8083
Mailing address
11980 San Vicente Blvd Ste 500Los Angeles, CA 90049-6603
Phone 310-207-6111 · Fax 310-207-8083
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