Fumio Shibata DDS a Professional Corp

NPI #1447380928 in Larkspur, California

Provider Information

NPI Number: 1447380928
Entity Type: Organization
Organization Name: Fumio Shibata DDS a Professional Corp
Primary Specialty: Dentist - Periodontics
Enumeration Date: Mar 6, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2200 LARKSPUR LANDING CIRCLE
Address 2: SUITE 103
City: Larkspur
State: California
ZIP Code: 94939
Phone: (415) 608-7823

Authorized Official

Name: DR. FUMIO SHIBATA, DDS
Title: PRESIDENT
Phone: (415) 608-7823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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