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Organization

KAWATA AND MATSUMOTO SPECIALISTS IN ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE FENGLER (FINANCIAL COORDINATOR)
(951) 736-7846
Entity
Organization

Contact information

Practice address
854 MAGNOLIA AVE, SUITE A, CORONA, CA 92879-3109
(951) 736-7846
(951) 736-7862
Mailing address
854 MAGNOLIA AVE, SUITE A, CORONA, CA 92879-3109
(951) 736-7846
(951) 736-7862

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
032867
CA

Other

Enumeration date
03/22/2007
Last updated
12/27/2007
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