Individual
DR. DENISE MAYUMI COSTA MATUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17411 PROMENADE DR, CLERMONT, FL 34711-5961
(407) 946-5694
Mailing address
17411 PROMENADE DR, CLERMONT, FL 34711-5961
(407) 946-5694
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MS
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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