Individual
DR. BRENT M FURUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
21660 COPLEY DR STE 200, DIAMOND BAR, CA 91765-4176
(909) 861-3515
(909) 861-2795
Mailing address
21660 COPLEY DR STE 200, DIAMOND BAR, CA 91765-4176
(909) 861-3515
(909) 861-2795
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
55164
CA
1223G0001X
General Practice Dentistry
Primary
55164
CA
Other
Enumeration date
07/13/2009
Last updated
04/19/2023
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