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Individual

TAKANOBU FUJITA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3219 N MACARTHUR BLVD, SUITE 100, IRVING, TX 75062-8805
(972) 252-7569
(972) 258-0502
Mailing address
1 HERMANN MUSEUM CIRCLE DR, APT 4073, HOUSTON, TX 77004-7390
(303) 562-6001

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
24334
TX

Other

Enumeration date
04/23/2007
Last updated
12/15/2009
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