Organization
KENSUKE MATSUMOTO, D.M.D., M.S., P.A.
Active
Other names
Matsumoto Orthodontics & Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENSUKE MATSUMOTO DMD (PRESIDENT)
(910) 726-1000
Entity
Organization
Contact information
Practice address
8115 MARKET ST STE 208, WILMINGTON, NC 28411-8430
(910) 726-1000
Mailing address
8115 MARKET ST STE 208, WILMINGTON, NC 28411-8430
(910) 726-1000
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/26/2022
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