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Organization
FRED H. MATSUMOTO D.D.S., INC.
Active
Organization
FRED H. MATSUMOTO D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED HIROSHI MATSUMOTO D.D.S. (PRESIDENT)
(562) 860-5597
Entity
Organization
Contact information
Practice address
11416 SOUTH ST, CERRITOS, CA 90703-6611
(562) 860-5597
(562) 809-1947
Mailing address
11416 SOUTH ST, CERRITOS, CA 90703-6611
(562) 860-5597
(562) 809-1947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19932
CA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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