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1164807012
DEREK YUTAKA NISHIMORI
SAN JOSE, CA
NPI
1164807012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CA 64661)
Enumeration Date
2015-07-21
Last Update Date
2021-06-12
Business Address
DR. DEREK YUTAKA NISHIMORI D.D.S.
2000 FOREST AVE STE C
SAN JOSE, CA 95128-4831
Phone number: 408-287-5900
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Mailing Address
DR. DEREK YUTAKA NISHIMORI D.D.S.
1130 KIFER RD APT 504
SUNNYVALE, CA 94086-5392
Phone number: 805-807-1044
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