Organization
SHIMIZU ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MICHAEL SHIMIZU DDS (GENERAL PARTNER)
(408) 738-1314
Entity
Organization
Contact information
Practice address
877 W. FREMONT AVENUE, G-1, SUNNYVALE, CA 94087-2319
(408) 738-1314
(408) 738-8215
Mailing address
877 W. FREMONT AVENUE, G-1, SUNNYVALE, CA 94087-2319
(408) 738-1314
(408) 738-8215
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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