Yasuyuki Fukuto, DMD

NPI #1922788975 in Stayton, Oregon

Provider Information

NPI Number: 1922788975
Entity Type: Individual
Name: Yasuyuki Fukuto, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 521 N 1ST AVE
City: Stayton
State: Oregon
ZIP Code: 97383-1703
Phone: (503) 769-9699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary
Dentist	122300000X

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