Individual
DR. KENNETH ALAN SHIMIZU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
877 W FREMONT AVE, SUITE D-1, SUNNYVALE, CA 94087-2315
(408) 738-1314
(408) 738-8215
Mailing address
877 W FREMONT AVE, SUITE D-1, SUNNYVALE, CA 94087-2315
(408) 738-1314
(408) 738-8215
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
33851
CA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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