DR. Fumio Shibata, DDS

NPI #1730219106 in Larkspur, California

Provider Information

NPI Number: 1730219106
Entity Type: Individual
Name: DR. Fumio Shibata, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Mar 6, 2007
Last Updated: Jul 8, 2007

Practice Location

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

Specialties & Taxonomy Codes

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

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