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Organization
KYLE NISHIMURA, DMD, INC
Active
Organization
KYLE NISHIMURA, DMD, INC
Active
Other names
Orange Grove Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE NISHIMURA DMD (DENTIST)
(310) 525-6996
Entity
Organization
Contact information
Practice address
1467 N WANDA RD STE 105, VILLA PARK, CA 92867-5344
(310) 525-6996
Mailing address
16610 TAYLOR CT, TORRANCE, CA 90504-2237
(310) 525-6996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62496
CA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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