R. Glenn Kitasoe,dds,inc.
NPI #1689894198 in Menlo Park, California
Provider Information
- NPI Number
- 1689894198
- Entity Type
- Organization
- Organization Name
- R. Glenn Kitasoe,dds,inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Nov 23, 2015
Practice Location
- Address
- 825 OAK GROVE AVE
- City
- Menlo Park
- State
- California
- ZIP Code
- 94025-4434
- Phone
- (650) 323-5211
Authorized Official
- Name
- DR. R. GLENN KITASOE, DDS
- Title
- DENTIST
- Phone
- (650) 323-5211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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