DR. Larry E. Fukumoto, D.D.S
NPI #1346354685 in Cypress, California
Provider Information
- NPI Number
- 1346354685
- Entity Type
- Individual
- Name
- DR. Larry E. Fukumoto, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - Pediatric Dentistry
- Credential
- D.D.S
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5631 LINCOLN AVE
- City
- Cypress
- State
- California
- ZIP Code
- 90630-3156
- Phone
- (714) 995-2040
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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