DR. Stanley Makoto Jitsumyo, D.D.S.
NPI #1639277627 in Clovis, California
Provider Information
- NPI Number
- 1639277627
- Entity Type
- Individual
- Name
- DR. Stanley Makoto Jitsumyo, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 200 W BULLARD AVE
- Address 2
- SUITE D-3
- City
- Clovis
- State
- California
- ZIP Code
- 93612-7610
- Phone
- (559) 298-6684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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