Individual
DR. CARL CHOSEI FUTENMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3405 NE 78TH ST, VANCOUVER, WA 98665-0657
(360) 574-3061
Mailing address
27504 NE 14TH CT, RIDGEFIELD, WA 98642-8472
(360) 887-4429
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8328
WA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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