Individual
DR. KENSUKE MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
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
11725
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11725
NC
Other
Enumeration date
08/31/2017
Last updated
02/26/2022
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