Individual
DR. BRIAN KOSHIRO MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 ALA MOANA BOULEVARD, SEVEN WATERFRONT PLAZA, #220, HONOLULU, HI 96813
(808) 523-3104
(808) 523-3121
Mailing address
11611 IOWA AVE, #14, LOS ANGELES, CA 90025
(310) 948-9394
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT-2715
HI
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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