Individual
DR. KEVIN SHIMIZU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
877 W FREMONT AVE STE G1, SUNNYVALE, CA 94087-2319
(408) 738-1314
Mailing address
877 W FREMONT AVE STE G1, SUNNYVALE, CA 94087-2319
(408) 738-1314
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
103587
CA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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