Individual
MITSUKO MURATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HYGIENIST
Contact information
Practice address
1970 UNIVERSITY AVE, RIVERSIDE, CA 92507-5202
(951) 276-0668
(951) 328-9578
Mailing address
1970 UNIVERSITY AVE, RIVERSIDE, CA 92507-5202
(951) 276-0668
(951) 328-9578
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
19617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70865F
MEDICAL
CA
01
—
G98054-02
DELTA DENTAL
CA
01
—
G98054-04
DELTA DENTAL
CA
Enumeration date
07/02/2007
Last updated
07/08/2007
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