Individual
DAI KITAMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 POTRERO GRANDE DRIVE #C, ROSEMEAD, CA 91770-2254
(626) 288-1139
Mailing address
18229 DUSK STREET, ROWLAND HEIGHTS, CA 91748
(626) 991-1121
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
62911
CA
Other
Enumeration date
04/09/2014
Last updated
09/07/2016
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