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Organization
DEREK Y. NISHIMORI, D.D.S., INC.
Active
Organization
DEREK Y. NISHIMORI, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK YUTAKA NISHIMORI DDS (DENTIST)
(408) 279-8080
Entity
Organization
Contact information
Practice address
2034 FOREST AVE STE 1A, SAN JOSE, CA 95128-4809
(408) 279-8080
Mailing address
2034 FOREST AVE STE 1A, SAN JOSE, CA 95128-4809
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2021
Last updated
06/12/2021
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