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Organization
KUNIMOTO DENTAL CORP
Active
Organization
KUNIMOTO DENTAL CORP
Active
Other names
Brite Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE K KUNIMOTO DDS (PRESIDENT)
(209) 478-7221
Entity
Organization
Contact information
Practice address
4661 PRECISSI LN, SUITE A, STOCKTON, CA 95207-6206
(209) 478-7221
Mailing address
4661 PRECISSI LN, SUITE A, STOCKTON, CA 95207-6206
(209) 478-7221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
55669
CA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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