Individual
KIMI YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 285-9830
Mailing address
808 W 58TH ST, LOS ANGELES, CA 90037-3632
(323) 285-9830
Taxonomy
Speciality
Code
Description
License number
State
1223X2210X
Orofacial Pain Dentistry
Primary
109797
CA
Other
Enumeration date
01/08/2024
Last updated
01/09/2024
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