Individual
TOMOYASU FUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7601 CASTOR AVE, SUITE 300, PHILADELPHIA, PA 19152
(215) 722-4290
(215) 722-3734
Mailing address
7601 CASTOR AVE, SUITE 300, PHILADELPHIA, PA 19152
(215) 722-4290
(215) 722-3734
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS035030
PA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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