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Individual
DR. KAZUYA UYESUGI
Active
Individual
DR. KAZUYA UYESUGI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
33866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000033866
DELTA DENTAL
CA
01
—
770131080
TAX ID USED FOR OTHER INS
CA
01
—
970422
UNITED CONCORDIA
CA
Enumeration date
09/20/2006
Last updated
09/04/2013
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