Kyle Kitasoe
NPI #1184251092 in Menlo Park, California
Provider Information
- NPI Number
- 1184251092
- Entity Type
- Individual
- Name
- Kyle Kitasoe
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 23, 2020
- Last Updated
- Aug 24, 2021
Practice Location
- Address
- 825 OAK GROVE AVE STE C501
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4427
- Phone
- (650) 323-5211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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