DR. R Glenn Kitasoe, DDS
NPI #1124244611 in Menlo Park, California
Provider Information
- NPI Number
- 1124244611
- Entity Type
- Individual
- Name
- DR. R Glenn Kitasoe, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 825 OAK GROVE AVE
- Address 2
- C-501
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4434
- Phone
- (650) 323-5211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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