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Organization
KENNETH S. MASUMOTO DDS INC
Active
Organization
KENNETH S. MASUMOTO DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH SADAO MASUMOTO D.D.S. (PRESIDENT)
(559) 229-1806
Entity
Organization
Contact information
Practice address
430 W. SHAW, FRESNO, CA 93704
(559) 229-1806
(559) 229-5953
Mailing address
430 W. SHAW, FRESNO, CA 93704
(559) 229-1806
(559) 229-5953
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14139
CA
1223G0001X
General Practice Dentistry
14139
CA
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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