Individual
DR. DAVID M. ICHIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2400 MOORPARK AVE STE 110, SAN JOSE, CA 95128-2623
(408) 286-1276
Mailing address
2400 MOORPARK AVE STE 110, SAN JOSE, CA 95128-2623
(408) 286-1276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40248
CA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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