Individual
DR. ANDREW KUNIO MATSUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
47 DUESENBERG DR #201, THOUSAND OAKS, CA 91362-3447
(805) 496-3121
(805) 496-8101
Mailing address
47 DUESENBERG DR #201, THOUSAND OAKS, CA 91362-3447
(805) 496-3121
(805) 496-8101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
28755
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B2875501
MEDICAID
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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